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tou mian bu pi jiao si li
Author(s): 
Pages: 599-600
Year: Issue:  7
Journal: Chinese Journal of Otorhinolaryngology Head and Neck Surgery

Abstract: 例1女,76岁.左侧面颊部长出牛角状物,突然加快生长1个月于2011年10月10日入院.患者2年前无明显诱因,在左侧面颊部长出一小肿物,大小约0.5 cm×0.5 cm,无红肿,无压痛,肿物逐渐增大,且反复破溃,结痂,患处疼痛、红肿,末端硬化成皮角样改变,表面有破溃,其上有褐色的痂皮,干燥,一直未做任何治疗,近半年逐渐长大呈牛角状物,1个月前突然加快生长,不堪重负,门诊以左侧面颊部角状物收入院.入院检查:患者一般情况好,心、肺、腹部未见明显异常,颌下及颈部未触及肿大的淋巴结;腹部B超肝、胆、胰腺、脾、双肾未见异常;X线片示:颅骨及面部未见异常;实验室检查:血、尿常规、肝功能、肾功能、胸部X线片、心电图均正常.专科检查:左侧面颊部有类似牛角的皮角,颜色为黄褐色明显角化过度,末端硬化坏死,基底部红肿(图1),轻度压痛.牛角状物长约22 cm,基底面积约6 cm×6 cm,表面粗糙、质硬.
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