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患者女,36岁,已婚。背部肿块逐渐增大20余年.呈屏状渐下坠臀部3年,肿块下方磨擦破损伴疼痛、溢液、发热3个月入院。体检:背部巨大肿块60×35×15cm大小,呈肉屏状。基底始于颈部发际,下至第2腰椎水平,瘤体下坠至尾骶部水平,两侧缘近腋中线旁。质柔韧,抓起如面团感,无触痛,感觉稍迟钝。瘤体上皮肤有散在大小不等之软性瘤样突起.瘤体下方分别可见2×2×1cm、2×2×0.6cm大小溃疡.有少许淡黄色液体渗出。两胁部及下腹部、大腿内侧均可见点片状牛奶咖啡斑。面部躯干可见散在蚕豆大小瘤
Female patient, 36 years old, married. The back lumps gradually increased for more than 20 years. The screen showed a gradual decline in the buttocks for 3 years. The lumps underwent pain, discharge, and fever for 3 months after admission. Physical examination: The size of the huge mass on the back was 60×35×15 cm, showing a meat-like screen. The base begins with the hairline of the neck and descends to the level of the second lumbar spine. The tumor falls down to the level of the cercariae and the sides are near the midaxillary line. The quality is flexible, grabs a sense of dough, no tenderness, and feels sluggish. There were soft tumor-like protrusions of varying sizes on the skin of the tumor. 2×2×1cm and 2×2×0.6cm ulcers were seen below the tumor. There was a little yellowish fluid leaking. There were spotted milk coffee spots on both the flanks and the lower abdomen and inner thighs. Facial torso can be seen scattered in broad bean tumors