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腺泡状软组织肉瘤为罕见的低度恶性肿瘤,好发于随意肌、肌筋膜,多见于肢体,尤好发于下肢,亦可发生于腹壁,副鼻窦区、舌、口底和眼眶,其他部位未见报道。本文报告发生于头部,并累及颅骨2例。病例摘要: 例1 女性,27岁,于1979年7、8月份发现左顶部有一圆形肿块,指头大小,不痛不痒,以后渐增大至鸡蛋大小。检查:左后顶部圆形肿块约4×4cm,局部不红肿,质地柔软如橡皮样。X线片:左顶骨偏后有3×3.5cm大小的骨质缺损区,波及内外颅板,边缘骨质密度增高,伴细刺样改变,局部软组织隆起阴影5×2cm,境界清,肿块内似有线状钙化影,临床拟诊:嗜酸性肉芽肿,脑膜瘤。手术见左后顶部颅骨破坏区为4×4cm,由肿瘤组织充填,与骨膜紧密相连。肿瘤深达颅内,基底甚大,肿瘤呈紫色,质脆易出血,遂做肿瘤局部切除。
Acinar soft tissue sarcoma is a rare low-grade malignancy, occur in the voluntary muscle, muscle fascia, more common in the body, especially in the lower extremities, can also occur in the abdominal wall, paranasal sinus area, tongue, mouth and eyes, No other parts of the report. This article reports on the head and 2 cases involving the skull. Case Summary: Example 1 Female, 27 years old, in July and August 1979 found a circular lump at the top left, finger size, superficial, gradually increased to egg size. Check: The top of the left circular mass about 4 × 4cm, the local non-inflamed, soft texture, such as rubber-like. X-ray film: the left parietal bone 3 × 3.5cm size after the bone defect area, affecting the internal and external cranial board, the edge of bone density increased, with fine thorn-like changes, local soft tissue uplift shadow 5 × 2cm, realm clear, within the mass Like a linear calcification, clinical trial: eosinophilic granuloma, meningioma. See the left top of the skull after surgery to destroy the area of 4 × 4cm, filled by tumor tissue, and the periosteum closely linked. Tumor deep intracranial, very large basal tumor was purple, crisp and easy to bleed, then do partial tumor resection.