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病例:女,50岁。10年前开始头痛,多位子额部,呈间歇性。半年前发现前额长一肿块,初起时蚕豆大小,渐增大,并感双下肢酸痛。外科拟诊为前额肿瘤。术中发现颅骨缺损,疑恶性病变转内科。体检:体温37.5℃,神清,步态正常。全身皮肤、粘膜无出血点。浅表淋巴结不肿大。前额正中有4×5cm隆起,质中,其上见手术疤痕。心肺正常。肝脾未扪及。脊柱无压痛,两侧大腿根部有压痛,神经系统未见异常。血常规:RBC3.15×10~(12)/L,Hb95g/L,WBC6×10~9/L,Ⅳ64％,L36％。血沉:4mm/h。TTT、ZnTT、SGPT、AKP均正常,A/G=5.0/1.6。尿常规:蛋白(+++),RBC1～2,WBC(+)。尿本周氏蛋白阳性。蛋白电泳:白
Case: Female, 50 years old. 10 years ago began to headache, many sub-Department, was intermittent. Half a year ago found a lump of forehead, the beginning of the broad bean size, gradually increased, and sense of lower extremity soreness. Surgical diagnosis of forehead tumor. Skull defects were found during surgery, suspected malignant disease to internal medicine. Physical examination: body temperature 37.5 ℃, God clear, normal gait. Whole body skin, mucous membrane without bleeding point. Superficial lymph nodes are not enlarged. Forehead with 4 × 5cm uplift in the middle, quality, see the surgical scars on it. Cardiopulmonary normal. Liver and spleen not palpable. No tenderness in the spine, tenderness on both thighs, no abnormalities in the nervous system. Blood: RBC3.15 × 10 ~ (12) / L, Hb95g / L, WBC6 × 10 ~ 9 / L, Ⅳ64%, L36%. ESR: 4mm / h. TTT, ZnTT, SGPT, AKP were normal, A / G = 5.0 / 1.6. Urine: protein (+++), RBC1 ~ 2, WBC (+). Urine this week’s protein positive. Protein electrophoresis: white