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例1,患者女,49岁,右肩部肿物2年余,逐渐增大,有疼痛。于1996年12月入院。骨科检查:于右肩部可触及2cm×2cm实性肿物,皮肤表面红肿,质硬韧,界限清楚与皮肤无粘连。X线:右肩部软组织内见一直径1.0cm肿物阴影,临床诊断:右肩部纤维瘤。 病理检查:一带皮的类圆形肿物,包膜不完整,切面红白相间,质中等硬。体积1cm×1cm×10cm。镜下所见:肿瘤细胞呈团块状排列,团块周围为纤维结缔组织,瘤细胞排列紧密似上皮样,并可见大片坏死。瘤细胞为多边形,胞浆丰富红
Example 1, the patient female, 49 years old, had a mass in his right shoulder more than 2 years old, gradually increased and had pain. Admitted to hospital in December 1996. Orthopaedic examination: A 2cm×2cm solid mass can be touched on the right shoulder, and the skin surface is red and swollen. The quality is hard and tough, and the boundary is clear and there is no adhesion to the skin. X-ray: A 1.0 cm diameter shadow of the tumor was seen in the soft tissue of the right shoulder. Clinical diagnosis: Fibroma of the right shoulder. Pathological examination: A round-like mass with skin, the capsule is incomplete, and the cut surface is red and white, and it is medium-hard. Volume 1cm×1cm×10cm. Seen under the microscope: Tumor cells were arranged in clumps, fibrous connective tissue around the mass, tumor cells arranged closely like epithelioid, and shows large necrosis. The tumor cells are polygonal and the cytoplasm is rich in red