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1临床资料患者女性,66岁,因“左颞部包块进行性长大2个月余”入院。患者于10年前在我院行左肾透明细胞癌根除术,术后予以行重组人白介素2及TNF-α等生物治疗,未行放化疗。查体:神清语晰,左颞部见一大小约4 cm×2 cm包块,活动度差,质韧,无压痛,局部无红肿,与周围组织分界清楚,双侧瞳孔等大等圆,直径3 mm,光反射灵敏,颈软,脊柱四肢无畸形,肌张力及肌力正常。生理反射正常,病理反射未引出。头颅CT、MRI提示(图1A、2A):左颞骨长约4.4 cm骨质破坏缺失区,局
1 Clinical data Female patients, 66 years old, because of “left temporal lobe mass growth more than 2 months ” admission. Patients in our hospital 10 years ago, left renal clear cell carcinoma radical eradication, postoperative to be recombinant human interleukin 2 and TNF-α and other biological treatment, no radiotherapy and chemotherapy. Physical examination: clear and clear, the left temporal area to see a size of about 4 cm × 2 cm mass, poor mobility, quality and toughness, no tenderness, no local swelling, clear boundaries with the surrounding tissue, bilateral pupil and other large round , 3 mm in diameter, sensitive to light reflex, neck soft, spine limbs without deformity, muscle tone and muscle strength. Normal physiological reflex, pathological reflex did not lead. Head CT, MRI tips (Figure 1A, 2A): Left temporal bone length of about 4.4 cm bone destruction missing area, Bureau