患者男性、15岁,于1972年发现右肩胛骨内侧一肿块,1980年在外院切除,病理报告:“脂肪瘤”。术后三个月复发。1981年1月两下肢发麻,步态不稳,继而感觉丧失,尿失禁。3月7日来院就诊。体检发现右肩胛骨内侧有6×4cm肿块,表面光滑、质软、不活动,与皮肤无粘连。两下肢Ⅲ°瘫痪,第三胸椎平面以下皮 The patient, male, was 15 years old. He developed a medial scapula of the right scapula in 1972 and was removed in the outer court in 1980. His pathology report was “lipoma.” After three months of recurrence. In January 1981, the two lower limbs became numb, and the gait became unstable, followed by loss of sensation and urinary incontinence. March 7 came to the hospital. Physical examination revealed a 6×4 cm mass inside the right scapula. The surface was smooth, soft, inactive and had no adhesion to the skin. Two lower limbs III °, the third thoracic plane below the skin