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患者男性,20岁。左侧腋下方胸壁疼痛5月余,左上肢上举或作深呼吸疼痛加重。入院检查:一般情况良好,胸廓对称,无畸形。实验室检查:血、尿常规、肝功能、血钙及碱性磷酸酶在正常范围内。 X线检查:胸部正位,左后斜位平片见左侧第七肋骨腋段呈椭圆形囊状膨胀性骨质破坏,破坏区,长轴与骨干的纵轴一致并与正常骨分界清楚,内缘呈波浪状,内有较细骨嵴,骨皮质膨胀变薄,内无钙化及骨膜增生反应,相邻软组织无肿胀(附图)。X线诊断左第七肋骨腋段良性骨肿瘤,软骨粘液样纤维瘤可能。 手术所见:左第七肋骨腋段膨胀性破坏长约5cm!皮质变薄,界限清楚,切除病变段。大体标本(图)所见
The patient is male, 20 years old. The chest wall below the left side of the chest pain for more than five months, left upper extremity lifted or for deeper respiratory pain. Admission examination: Generally good, symmetrical chest, no deformity. Laboratory tests: Blood, urine routines, liver function, serum calcium, and alkaline phosphatase were within normal limits. X-ray examination: the chest is in an upright position, and the left posterior oblique plain sheet shows an oval cystic dilating bone destruction at the left seventh rib segment, and the long axis is in line with the longitudinal axis of the backbone and clearly demarcates with the normal bone. The inner rim was wavy, with finer epiphysis, thinning of the cortical bone, no calcification and periosteal hyperplasia, and no swelling of adjacent soft tissues (drawings). X-ray diagnosis of benign bone tumor of the left seventh rib segment, cartilage myxoid fibroma may be. Seen from the operation: the left seventh rib iliac segment of the expansion of the destruction of the destruction of about 5cm! Cortical thinning, clear boundaries, removal of diseased segments. Seen from the gross specimen (picture)