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患者,女,46岁,以“自口中呕出肿物4h”为主诉急诊入院。入院4h前剧烈呕吐后自口中呕出一淡红色光滑肿物悬挂于口外,致无法闭口、吞咽、进食及说话,无呼吸困难。追问病史,2年来有轻度吞咽困难,未在意。为防止窒息,行预防性气管切开后收入院。体检:全身情况良好,口腔舌体上方可见一淡红色腊肠状肿物,悬挂于口外,无法回纳,肿物可视部分约7cm×3cm×3cm大小,表面光滑,质软,无压痛(图1)。电子镜检查见肿物基底可
The patient, female, 46 years old, was admitted to the hospital for an emergency call “with a vomit of tumor 4h”. 4h before admission vomiting violently vomited from the mouth after a light red smooth mass hanging in the mouth, resulting in unable to shut up, swallowing, eating and speaking, no breathing difficulties. Asked history, mild swallowing 2 years, did not care. In order to prevent suffocation, the line of preventive tracheotomy income. Physical examination: The whole body is in good condition. A light red sausage-like mass is seen above the oral tongue. It hangs outside the mouth and can not be restored. The visible part of the tumor is about 7 cm × 3 cm × 3 cm in size. The surface is smooth and soft with no tenderness 1). Electron microscopy see the tumor substrate can be