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一岁以下患脑膜瘤非常罕见,现报告如下。许×,女,6月,于1983年4月18日住院。住院号:18865。患孩在一个月时,其母发现右侧眉弓上有大拇指大小圆形肿物,逐渐长大,无其他任何不适,三个月后肿块迅速长大,约乒乒球大小,以右额部肿瘤收入院。患儿足月顺产、无外伤史。检查:头颅大小正常,前囱门约0.5×0.5cm,不隆起。右侧眉弓外侧额部可见圆形肿块,直径约3×3cm,质硬,无压痛,与皮肤无粘连,基底部固定于额骨,眼眶上壁光滑,稍增厚,右眼上睑静脉怒张,轻度水肿。右眼睑裂比左眼小2mm。眼球位置正常,活动正常。眼底正常,神经系统检查无异常发现。头颅正侧位及右前额斜切位像显示右侧前额部,右眼眶外上缘处直径约3.5cm大小密度减低区,边界清晰,中央部似有骨质缺损。临床诊断:眼眶外上壁囊肿?。
Melanoma is very rare under the age of one, are reported as follows. Xu ×, female, June, was hospitalized on April 18, 1983. Hospital number: 18865. The child in a month, the mother found the right eyebrow bow on the thumb size round tumor, and gradually grew up, without any other discomfort, three months after the rapid growth of the tumor, about table tennis ball size, right Department of tumor revenue homes. Children with full-term follow-up, no history of trauma. Check: normal skull size, about 0.5 × 0.5cm before the fontanel, not uplift. Right lateral eyebrow bow on the outer visible mass, a diameter of about 3 × 3cm, hard, no tenderness, no adhesion with the skin, the base fixed in the frontal bone, orbital wall smooth, slightly thickening, right eye upper eyelid vein Fury, mild edema. Right eye palpebral fissure 2mm smaller than the left eye. Normal eye position, normal activity. Fundus normal, no abnormal neurological examination found. Frontal skull and right anterior oblique incisors like the right forehead, the right orbital margin of about 3.5cm in diameter and size of the area of reduced density, the border is clear, the central part seems to have bone defects. Clinical diagnosis: orbital supratentorial cyst?