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患者男性,59岁。自述半年前出现前额顶部头皮肿块,质硬、活动性差,无疼痛;4个月前肿块破溃、出血,伤口始终不愈,遂就诊于当地医院,行手术局检。术后病理诊断:神经性纤维瘤。随后来我院行手术治疗,我院病理诊断:恶性肿瘤,结合外院免疫组化结果考虑为肉瘤样癌,请全身检查排除转移。1周前于原发位置出现新的肿物。查体:于手术瘢痕旁见一黄豆大小的质硬肿物,与周围界限清楚。PET-CT示额顶头皮肿物切除术后,显像略见放射性浓缩,其余部位未见异常。
Male patient, 59 years old. The report appeared six months ago, the top of the forehead scalp mass, hard, poor mobility, no pain; 4 months ago the rupture of the tumor, bleeding, the wound has not healed, then visited the local hospital for surgical examination. Postoperative pathological diagnosis: neurofibromatosis. Followed by surgical treatment of our hospital, our hospital pathological diagnosis: malignant tumor, combined with the results of immunohistochemistry outside the hospital considered as sarcomatoid carcinoma, the whole body check to exclude metastasis. A new tumor appeared in the primary site 1 week ago. Physical examination: see a scalding next to the size of hard-like mass of soybeans, clear boundaries with the surrounding. After PET-CT scalp scalp resection, imaging showed a slight radioactive concentration, the rest of the site no abnormalities.