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1 临床资料
患者,男,59岁,汉族.因发现肛周溃疡性肿物伴发尿崩症10年,于2008年6月入当地县级医院治疗.手术完全切除肿物大小1.5 cm×0.8 cm×0.3 cm,行病理活检,病理提示为良性病变.2008年9月发现肛周再次出现溃疡性肿物,于省级医院门诊手术切除,未行病理活检. 相似文献
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1 病例资料 患者,女,34岁,于2013年6月无意中自行触及右乳肿物l枚,位于右乳外侧,当时约红枣大小,无红肿热痛、乳头溢液、触痛等不适,就诊于其他医院.查乳腺超声:2.7 cm×2.6cm×1.7cm,右乳实性占位BI-RADS4a级.查乳腺钼钯:右乳内见3.1 cm×3.4 cm高密度影,Bi-RADS 4类,不完全除外恶性.患者行右乳肿物穿刺活检,病理提示考虑间叶源性肿瘤,考虑为炎症性肌纤维母细胞瘤伴细胞向神经分化,遂于2013年7月12日行右乳肿物扩大切除术,病理符合炎症性肌纤维母细胞瘤改变.患者未行特殊后续治疗.2013年9月,患者自觉手术部位逐渐饱满,当时未触及明确肿块. 相似文献
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1 病例简介
患者,男性,37岁,因发现左中上腹肿物2 年余,缓慢增长而入院.患者2 年多前无意中发现左中上腹有一肿物,无疼痛及其他不适,未引起注意,肿物缓慢增长.发病以来,无腹痛,无消瘦及乏力,无发热,无外伤史.体检:一般情况良好,左中上腹可触及约10cm×9cm×8cm大小的肿物,光滑,活动,无触痛,无搏动.B超示局部实性占位.术前诊断为腹腔内肿物,肠系膜肿瘤.术中见肿瘤生长于大网膜,近圆形,直径约10cm,实性,与周围无粘连.周围无肿大的淋巴结.完整切除肿瘤.术后病理为孤立性纤维性肿瘤. 相似文献
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患者女,40岁.1年半前在当地乡镇医院做妇检健康体检时发现阴道左侧壁肿物,无搏动,CT示阴道左侧壁软组织肿块,B 超示:子宫前位,大小为7.0 cm×3.4cm×3.1 cm,内膜厚0.5 cm,双卵巢未见异常.盆腔见一大小为3.1 cm×1.9 m囊性结节.因未感觉任何不适故该患者未做进一步检查及治疗.近半年来患者感觉肛门有轻度坠胀感,在当地乡镇医院做B 超示:子宫前位,大小、形态正常,内膜厚0.4 cm双附件未见异常.于盆腔内见一大小为4.8 cm×1.8 cm囊性结节.当地医师建议其做进一步检查,故患者于2009年10月19日来我院诊治. 相似文献
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1病例资料患者,女,55岁。因体检发现左乳占位半月就诊石嘴山市第一人民医院,行乳腺彩超示:左乳腺内上象限约2点处可探及一约1.6 cm×1.0 cm的低回声肿物,边界欠清楚,形态欠规则,呈分叶状,其内回声欠均匀,于肿物内可探及星点状血流显示;余腺体回声尚均匀,未探及明显结节;双侧腋下未探及明显异常回声。2013年9月6日行肿物切除活检术。2013年9月18日携病理切片就诊我院病理科行镜检:癌巢 相似文献
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1病例资料患者,女,22岁,"因体检发现腹部巨大包快3天"于2011年1月10日入院。患者于3天前健康体检行B超检查发现盆腔腹腔有巨大混合性包块,腹部CT平扫提示腹腔及盆腔内巨大占位,考虑畸胎瘤收入院。患者无腹痛,无腹部坠胀感,无恶心,无 相似文献
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患者男性,54岁.因体检发现左季肋部肿物1.5 a,2003年9月12日来院就诊.患者入院前无胸痛、胸闷、发热、咳嗽等症状,未咳出皮质样物质.一年前曾行剖腹探查,因肿物未在腹腔,放弃手术. 相似文献
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患者,女,58岁,因半年前体检发现盆腔肿物,于近期来我院要求手术治疗.患者绝经20余年.30年前因附件肿物扭转行右附件切除术.妇科检查:外阴阴性,阴道通畅,宫颈光滑,子宫萎缩,于盆腔偏左可触及拳头大小的囊性肿物,稍活动,无压痛.辅助检查:宫颈刮片报告未发现瘤细胞.B超示左附件囊性多房伴内实质性乳头状肿物.初步诊断:盆腔肿物性质待查;左侧卵巢肿物.经各种术前准备,于2 d后在腰麻下施剖腹探查术. 相似文献
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Lipoblastoma and lipoblastomatosis are rare benign mesenchymal tumors of embryonal white fat, which normally affect children under 3 years. We report an 11-month-old boy who was presented with a painless lump in the suprapubic region, which was diagnosed on ultrasound as herniated omental fat or lipoma. 相似文献
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目的探讨骨内脂肪瘤的影像学特征及病理对照。方法回顾性分析病理证实的13例骨内脂肪瘤的X线平片和CT片征象并与病理对照。结果跟骨4例,髋臼2例,股骨2例,腓骨2例,髂骨1例,胫骨1例,脊椎1例;X线平片表现为边界清或不清的不规则形低密度区,其内可见条块状及斑片状钙质样密度影,边缘多伴硬化。CT表现为多形状脂肪密度区,CT值为~27~127HU,伴有厚薄不一的连续或断续硬化边,其中10例病灶中央和(或)边缘可见小结节状钙化。结论骨内脂肪瘤以主要含有脂肪成分为共同特点,多伴钙化及硬化边;CT能对其作出正确的术前诊断,注意不同病理分期骨内脂肪瘤的影像学表现有所不同。 相似文献
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Hattori K Hatori M Hosaka M Watanabe M Smith RA Kokubun S 《Upsala journal of medical sciences》2005,110(2):173-178
This is a case report of a rare spindle cell lipoma (SCL) showing an unusual biphasic pattern with radiological findings and histological features. SCL is most common in men between the ages of 45 and 65 and it is reported that the tumor has a tendency to occur in the posterior neck area. This case was a 75-year old man with a 7 x 5 cm subcutaneous tumor in the posterior neck. Magnetic resonance imaging (MRI) examination demonstrated an unusual biphasic pattern. The signal intensities on T1 and T2 weighted images of the outer layer of the mass were high, and were suppressed on fat suppression views and showed no enhancement after gadolinium (Gd) injection. There was a low signal intensity area of 15 mm in diameter on both T1 and T2 weighted images, in the central part of the mass. This area was well enhanced with the Gd compound. Also macroscopically it could be seen that the excised tumor consisted of two different tissue components. Microscopically, the outer yellowish portion was mainly composed of mature adipose tissue. The inner whitish fibrous portion contained a mixture of small and uniform spindle-shaped cells, collagen fibers, and scattered mature adipose cells. No malignancy was observed. The diagnosis of spindle cell lipoma was made. No recurrence was seen seven months after marginal excision. 相似文献
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Liposarcoma is the second most common soft tissue sarcoma after malignant fibrous histiocytoma in adults. It is frequently found in the extremities and retroperitoneum; rarely it can be seen in the chest wall. We report a rare case of giant liposarcoma originating from the chest wall representing a transformation of a relapsing lipoma in the same region. We performed chest wall resection, reconstruction with latissimus dorsi muscle transposition via posterolateral thoracotomy. The patient received 4 series of adjuvant chemotherapy after the postoperative diagnosis of dedifferentiated liposarcoma. The patient had no postoperative complication and has remained disease-free for 30 months. 相似文献
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虎小毅 《世界核心医学期刊文摘》2006,2(5):48-49
膈肌的脂肪瘤极其罕见。虽然大多数先天性膈肌脂肪瘤因为其典型的无症状特性,而在中年和老年人中可以见到,但是在低于14岁的年轻人中却未见报道。本文报道1例4岁儿童的巨大膈肌脂肪瘤病例。4岁女孩的膈肌脂肪瘤1例@Cheon J.S.
@Kim J.G.
@虎小毅 相似文献
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S P Misra S K Singh V K Thorat P Gulati V Malhotra B S Anand 《Postgraduate medical journal》1988,64(755):718-719
We report a case of spontaneous expulsion of a lipoma in a 32 year old male patient who presented with recurrent attacks of subacute intestinal obstruction. During one such episode the patient developed unusually severe abdominal pain and expelled a fleshy mass per rectum which, on histopathology, was found to be a lipoma attached to a necrosed portion of the small intestine. The pain disappeared immediately; a subsequent barium meal examination revealed normal appearances and the patient has remained completely symptom free 10 months after the incident. 相似文献
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目的 通过报道2例滑膜脂肪瘤的诊断和治疗,避免临床误诊和误治.方法 报道2例滑膜脂肪瘤患者的临床诊治过程,通过文献回顾,总结该病的临床症状、诊断和治疗方法.结果 滑膜脂肪瘤临床表现无特异性,确诊依靠滑膜病理,治疗的主要手段是滑膜切除术.结论 滑膜脂肪瘤是非常罕见的病因不明疾病,常表现为关节肿胀和反复积液,实验室检查无特异性,膝关节为好发关节,易误诊为骨关节炎、脊柱关节炎等常见病. 相似文献