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胸壁巨大神经鞘瘤罕见,报告1例如下。患者女性,20岁,主诉左侧胸部发现肿块4年,开始核桃大小,无不适,渐增。与月经来潮无关。检查:体温、脉搏和血压皆正常。左乳房近腋窝处见一肿块,约鹅蛋大,质中,活动度差。超声波检查示肿块13×15cm,内见分隔液平,提示为混合性肿块。入院后在高位硬膜外麻醉下手术发现,肿块长圆形15×12×10cm大小,位于左侧胸大小肌后方,上至左胸锁骨关节后方,向下向外至腋前线,肿块包膜完整,乃完整摘除。术后第八天拆线,痊愈出院。
Large schwannoma of the chest wall is rare, as reported below. A female patient, 20 years old, complained of a lump in the left chest for 4 years and began to grow in size, without discomfort. Has nothing to do with menstrual cramps. Check: Body temperature, pulse, and blood pressure are all normal. A lump was seen in the proximal breast near the fossa, and the size of the goose egg was large, and the activity was poor. Ultrasound showed a mass of 13 x 15 cm, with a flattening of the internal fluid, suggesting a mixed mass. After admission, under high epidural anesthesia, the tumor was found to be 15 × 12 × 10 cm in size. It was located behind the left chest muscles and the back of the left chest and clavicle joints, down to the anterior tibial joint, and the tumor capsule. Complete, complete removal. On the eighth day after the surgery, the sutures were removed and discharged.