论文部分内容阅读
患者男,48岁。3个月前无明显诱因突然发现左腰部肿物,伴有双下肢酸麻痛,左侧较明显,行走、劳累后加重,休息后缓解,未给予治疗,近来自觉下肢症状加重,遂来本院就诊,门诊以“左腰部肿物”收入院。体格检查:一般情况良好,发育尚可,各系统检查未见异常。皮肤科检查:左下腰部局部隆起,表面色素沉着,无红肿溃破,可触及10 cm×10 cm左右肿物,质硬,不活动,局部压痛,腰椎间隙压痛、叩击痛(-),无下肢放射痛,腰部活动受限明显
Male patient, 48 years old. 3 months ago, no obvious incentive to suddenly found the left lumbar tumor, accompanied by two limbs tingling, the left obvious, walking, exacerbated after fatigue, rest, did not give treatment, recently conscious lower extremity symptoms, then to this Hospital treatment, outpatient “left lumbar mass ” income hospital. Physical examination: the general situation is good, development is acceptable, the system check no abnormalities. Dermatology examination: the left lower lumbar local uplift, hyperpigmentation, no redness ulceration, palpable 10 cm × 10 cm or so mass, hard, inactive, local tenderness, lumbar intervertebral tenderness, percussion pain (-), no Radiation pain in lower extremities, waist activity restricted significantly