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所谓“蝾螈瘤”(tritontumor),是指瘤组织内出现横纹肌肉瘤成分的恶性神经鞘瘤,亦有文献称之为恶性周围神经鞘瘤伴有横纹肌肉瘤。本科在近10年的外检工作中仅遇到2例,现报告分析如下,并对蝾螈瘤的诊断与治疗进行初步探讨。 1 病案摘要 例1.女性,6月龄,入院前一周无意间发现左前臂有一肿块。既往无手术、外伤史。查体:一般情况佳,心肺听诊无异常。左前臂中下段掌侧触及一4cm×4cm×3cm大小肿块,质硬,活动度小,表面光滑,不红、无压痛,左手活动正常。X线片示左桡骨中下段部分破坏,CT示左前臂中下段软组织肿块。手术中见肿块包膜尚完整,与周围组织粘连,蒂与桡骨相连,粘连牢固,桡骨部分破坏。
The so-called “salamander tumor” (tritontumor), refers to the occurrence of malignant schwannoma tumor tissue rhabdomyosarcoma composition, there are also literature called malignant peripheral schwannoma with rhabdomyosarcoma. Undergraduate in the past 10 years, only two cases of foreign inspection work, the report is analyzed as follows, and the salamander tumor diagnosis and treatment of a preliminary study. 1 case summary summary 1. Female, 6 months old, one week before admission accidentally found a lump in the left forearm. No previous surgery, history of trauma. Physical examination: the general situation is good, cardiopulmonary auscultation no abnormalities. The middle and lower left forearm palmar touch a 4cm × 4cm × 3cm size mass, hard, low mobility, smooth surface, not red, no tenderness, left hand normal activity. X-ray showed part of the destruction of the middle and lower left radius, CT showed the middle and lower left forearm soft tissue mass. Surgery, see the mass of the capsule is still intact, adhesions with the surrounding tissue, pedicle and connected to the radius, adhesion firmly, the radial part of the destruction.