女阴部隆突性皮肤纤维肉瘤较罕见,现将我们收治的一例报告如下。病例介绍患者45岁,1974年冬于洗澡时发现左侧会阴部有一花生米大之肿物,无红肿、热痛及痒感,在某医院服中药治疗,疗效不佳。继之包块渐增大,1975年5月份在某医院切除(诊断不清),术后伤口感染,经青、链霉素治疗痊愈。1976年年底于原切口处又长出一肿物,渐增大,入某院再行包块切除,诊断为“平滑肌瘤”。1977年6月肿物再次复发,且生长迅速。自1978年3月以来,包块中央部溃烂,5～6天发生出血一次,每次出血持续1～2天,量约20～30ml,4月上旬突然出血约200ml,即送医院行止血等对症处理。于 Protrusive cutaneous fibrous sarcoma of the female genitals is rare, and one case of our treatment is reported below. Case presentation The patient was 45 years old. In the winter of 1974 when bathing, she found that there was a large mass of peanuts on the left perineum. There was no swelling, heat pain, or itching. She was treated with traditional Chinese medicine in a hospital and the efficacy was poor. Following the gradual increase in mass, in May 1975 in a hospital resection (diagnosis is unclear), postoperative wound infection, cured by streptomycin, healed. At the end of 1976, a mass was grown at the original incision and gradually enlarged. The mass was re-excised in a hospital and diagnosed as “leiomyoma”. In June 1977, the tumor recurred again and grew rapidly. Since March 1978, the central part of the mass has festered, and bleeding has occurred once every 5 to 6 days. Each bleeding lasts 1 to 2 days, and the volume is about 20 to 30 ml. In early April, a sudden bleeding of about 200 ml occurs, and the patient is sent to the hospital to stop bleeding. Symptomatic treatment. in