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会阴肿块,术前难以鉴别良性或恶性,必须排除脓肿、先天性囊肿、会阴疝,以及由前列腺或直肠而来的转移性肿瘤。近50年来国外文献报道有36例,本文报告于下:例1:女,14岁,住院号30852.1961年12月15日入院。出生后一个月,发现会阴偏左侧有一蚕豆大隆起物,无红、热、痛等现象,该肿物随年龄日益缓慢增大,至入院时已比本人拳大,无任何其它症状。体检:肿物位于会阴中线略偏左,大小约8×6×6厘米,表面光滑,无触痛,质柔软,无波动,与皮肤不粘连,似有分叶感,蒂部直径约4厘米,组织松弛,术前实验室常规检查正常。1961年12月22日在局麻下行会阴部肿块切除术。病理诊断:(~*611352).会阴部粘膜下脂肪瘤。
Perineal masses are difficult to discriminate between benign or malignant preoperatively and abscesses, congenital cysts, perineal hernias, and metastatic tumors from the prostate or rectum must be excluded. There have been 36 reports of foreign literature in the past 50 years. This article is reported below: Case 1: Female, 14 years old, admitted to hospital on December 15th, 3085.1961. One month after birth, it was found that there was a large faba bean uplift on the left side of the perineum. There was no redness, heat, or pain. The tumor gradually increased with age, and when I was admitted to the hospital, my fist was bigger than myself and there were no other symptoms. Physical examination: The tumor is located slightly to the left of the perineal midline and is approximately 8 x 6 x 6 cm in size. It has a smooth surface, no tenderness, and is soft and wavy. It does not adhere to the skin and seems to have a sense of lobulation. The diameter of the pedicle is about 4 cm. , The tissue is loose, and the routine examination in the preoperative laboratory is normal. On December 22, 1961, perineal mass resection was performed under local anesthesia. Pathological diagnosis: (~*611352). Perineal submucosal lipoma.