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患者,女,51岁。因发现脐部肿物半年,逐渐增大而入院,既往无特殊病史。专科检查见脐部正中有一2cm×2.5cm大小肿物,深褐色,表面欠光滑,呈分叶状,无溃破,按之不退色,无压痛,质硬,活动差,周围皮肤无红肿溃破。超声波检查见脐部突出一大小约21mm×22mm×12 mm实质性团块,部分深达皮下脂肪层内。团块边界清楚。无明确包膜,团块内部回声呈均质低回声,无多普勒血流信号(附图)。团块位于腹膜外,与腹腔不相通。未见脐尿管异常改变。超声诊断:脐部实质均质性肿物,性质待定。
Patient, female, 51 years old. He was admitted to the hospital because he found that the umbilicus tumor was gradually enlarged for six months. There was no special medical history. Specialist examination showed that there was a 2cm×2.5cm size tumor in the middle of the umbilicus. The body was dark brown, and the surface was less smooth. It was lobulated and had no ulceration. It did not fade, and it had no tenderness, hard, poor activity, and there was no swelling around the skin. broken. Ultrasound examination revealed that the umbilicus protruded from a substantial mass of approximately 21mm x 22mm x 12mm, partially deep within the subcutaneous fat layer. Block boundaries are clear. There was no clear envelope, and the internal echo of the mass was homogenously hypoechoic with no Doppler blood flow signal (drawing). The mass is located outside the peritoneum and is not connected to the abdominal cavity. No urinary catheter abnormalities were observed. Ultrasound diagnosis: umbilical solid homogeneous mass, nature to be determined.