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患者女,45岁,因左侧乳房无痛性肿块渐增大4年,于1997年8月在当地医院行肿块切除术(具体情况不详),诊断为“左乳腺巨大纤维腺瘤”.1998年2月又因左乳肿块复发,且增大显著,伴胀痛半月余来我院就诊,查体:左侧乳房呈巨大肿块状,直径约13cm,触痛,表面似平滑,按压有浮球感,肿块与皮肤等无粘连,皮下浅静脉扩张.右乳无异常,两侧腋下及锁骨上均未触及肿大淋巴结.手术见左乳房内有淡脓血性渗出液,约150ml,肿块无明显包膜.切取活检,术后引流,抗炎治疗.病理示:左乳腺肉瘤.切口2月后愈合.1998年5月发现右乳外上方肿块再次就诊,查:右乳房外上象限触及肿块,直径约3.0cm,无压痛,活动尚可.左乳房巨大肿块略有增大,两侧腋下及锁骨上方仍未触及肿大淋巴结.门诊手术切除肿块病理诊断:骨肉瘤.患者因个人及经济等原因,一直未能接受正规治疗,半年后因全身转移死亡.
The woman, 45, was diagnosed with “left breast giant fibroadenoma” at the age of 45 due to a painless lump of the left breast increasing for 4 years in a mass hospital at a local hospital in August 1997 (specific details are not available) .1998 February of that year because of recurrence of left breast lumps, and increased significantly, with more than half of pain and pain in our hospital, physical examination: the left breast was massive mass, diameter of about 13cm, tenderness, the surface seems smooth, floating pressure Ball sense, lumps and skin without adhesions, subcutaneous superficial vein dilatation.No abnormal right breast, on both sides of the armpit and clavicle have not touched the swollen lymph nodes .Surgical see left breast with light pus bloody exudate, about 150ml, No significant tumor mass. Cut biopsy, postoperative drainage, anti-inflammatory treatment. Pathology: left breast sarcoma incision healed after 2 months .1998 May found the right upper outer tumor again treatment, check: the right upper quadrant of the upper quadrant Palpable mass, diameter of about 3.0cm, no tenderness, activity is acceptable.Last left breast huge tumor slightly increased, both sides of the underarm and supraclavicular still untreated lymph nodes .Outpatient surgical removal of the tumor pathological diagnosis: osteosarcoma patients Personal and economic reasons, has not been able to receive formal treatment, died of systemic metastasis six months later.