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近年来我们遇见骨恶性纤维组织细胞瘤(Malignant fibrous Histiocytoma,简称MFH)3例,兹报告如下。例1,男,52岁,因左髋部酸痛、肿胀一年,不能行走3个月入院。体检:左股骨大转子处局限性隆起,皮肤无红肿,压痛明显,髋关节活动受限。X线示:左股骨粗隆及大小转子呈囊样缺损,溶骨性破坏伴病理性骨折,诊断为左股骨粗隆部骨肉瘤(见插页图1)。手术见局部病理性骨折,肿瘤灶为鱼肉样组织占据,行左髋关节断离术。病理报告为MFH。例2,女,34岁,下颈部酸痛4年,两下肢截瘫2个月入院。体检:颈7至胸2后突畸形,叩击痛(+),周围肌肉痉挛,胸4以下触觉存在,痛觉消失。X线所见:颈胸段椎体前方软组织影增大,颈6至胸
In recent years, we have seen 3 cases of Malignant fibrous Histiocytoma (MFH), which are reported below. Example 1, male, 52 years old, unable to walk for 3 months because of left hip pain and swelling for one year. Physical examination: localized bulge at the greater trochanter of the left femur, no skin irritation, tenderness, and restricted hip mobility. X-ray showed that the left femoral tuberosity and size of the rotor showed a sac-like defect, osteolytic destruction with pathological fracture, diagnosis of the left femoral trochanter osteosarcoma (see inset Figure 1). Local pathological fractures were seen during surgery. The tumors were occupied by fish-like tissue and left hip joints were dissected. The pathology report was MFH. Example 2, female, 34 years old, had a sore neck for 4 years, and paraplegia in both lower limbs for 2 months. Physical examination: Cervical 7 to thoracic 2 kyphotic deformity, percussive pain (+), peripheral muscle spasms, haptics 4 below the chest, pain disappeared. X-ray findings: Increased soft tissue shadows in front of cervical thoracic vertebrae, neck 6 to chest