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患者女,68岁,右大腿外上侧隆起性肿物4个月,肿物增长较快,无疼痛,无发热,仅感稍胀。经门诊手术切除。病理:恶性纤维组织细胞瘤。术后2个月,切口部位肿物复现,且增长迅速,坠胀感加重,无其它任何不适。查体;T:36.8℃,肿物13×13cm大小,表面光滑,皮温较高,质软,顶部局限性波动感,表面暗红色,可见扩张的血管分布,肿物基底宽,活动度小,无触痛。术中所见:肿物表面皮下血管广泛扩张,皮肤交界处水肿,
Female patient, 68 years old, right upper thigh outside the bulge of the tumor for 4 months, the tumor growth faster, no pain, no fever, only feeling slightly swollen. Surgical removal of the clinic. Pathology: Malignant fibrous histiocytoma. Two months after operation, the incision site mass recurrence, and rapid growth, bulge feeling heavier, without any other discomfort. T: 36.8 ℃, tumor size of 13 × 13cm, smooth surface, high dermal temperature, soft top, fluctuating sense of top, dark red surface, visible dilation of blood vessels, widened tumor base, small mobility , No tenderness. Intraoperative findings: extensive subcutaneous surface of the tumor expansion, skin junction at the edema,