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患者女性,58岁。右大腿包块3年,伴疼痛1年,加重10天人院。3年前不明原因右大腿下1/3出现一鸡蛋大肿块,无疼痛和发热,在外院行肿块摘除术,术后诊断不明。1年前同一部位再度肿胀,感疼痛。曾行止痛,抗感染治疗无效,10天来疼痛加重。体格检查:痛苦病容。右腹股沟扪及一蚕豆大淋巴结,右大腿下1/3段外侧扪及一包块,4×7cm大小,边界不清,质中,固定,表皮有手术疤痕,局部无明显发红发热,有压痛。膝关节
Female patient, 58 years old. Right thigh mass for 3 years, with pain for 1 year, aggravated 10 days in hospital. Three years ago, unexplained causes of a large lump in the lower third of the right thigh, no pain, and fever, in the external hospital for lumpectomy, postoperative diagnosis is unknown. One year ago, the same site was swollen again and I felt pain. He had analgesic, anti-infective treatment was ineffective, and pain worsened in 10 days. Physical examination: painful disease. The right inguinal hernia and a broad bean lymph node, the lower third leg of the right thigh and a mass, 4 × 7cm in size, the border is unclear, qualitative, fixed, the skin has surgical scars, local no obvious red heat, there are tenderness. Knee joint