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1 病历摘要患者男,67岁。因背部及双上肢结节40年余于2014年7月25日来我院就诊。患者40余年前无明显诱因出现少量皮肤结节,散在分布于背部及双上肢,无自发疼痛、红肿、瘙痒等,吹冷风后结节及周围皮肤收缩,产生明显疼痛。曾于外院就诊行外科手术切除,未行组织病理检查,术后病情复发、加重,结节数量逐渐增多,聚集成片,主要分布于上背部及双上臂伸侧,遇冷后疼痛剧烈。患者平素健康状况良好,育有1子3女,儿子无特殊,3个女儿均在30岁左右诊断为"子宫
1 medical record summary patient male, 67 years old. More than 40 years of nodules on the back and upper limbs came to our hospital on July 25, 2014. The patient had no obvious cause of a small number of skin nodules more than 40 years ago, scattered on the back and upper extremities, without spontaneous pain, redness, itching, etc. After the cold wind, the nodules and the surrounding skin contracted, causing significant pain. He had undergone surgical resection in the external hospital without histopathological examination. His condition relapsed and aggravated. The number of nodules gradually increased and he accumulated into pieces, mainly distributed on the upper back and the double upper arm extensions. He experienced severe pain after cooling. The patient is usually in good health and has 1 child and 3 daughters. The son is not special. All 3 daughters are diagnosed as having uterus at the age of 30.