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患者女,65岁。2年前于左大腿上段触及一椭圆形质硬肿物,有压痛,左下肢行走无明显影响,肿物生长缓慢,患者一直未予诊治。近日突然感左大腿剧烈疼痛,伴有左下肢活动受限。体检:左下肢皮肤、软组织完整,局部皮肤无红肿、破溃,无表浅静脉曲张,左股骨近端可触及大小约10 cm×8 cm质硬肿物,表面尚光滑,基底部固定,不可推动,与周围组织分界尚清,肿物表面轻度压痛,无明显放射痛,局部皮
Female patient, 65 years old. 2 years ago in the upper left thigh touch an oval hard mass, tenderness, left lower limb no significant effect of walking, tumor growth is slow, the patient has not been diagnosed and treated. Suddenly felt a sudden severe left thigh pain, accompanied by limited activity of the left lower extremity. Physical examination: the left lower extremity skin, soft tissue integrity, local skin without swelling, ulceration, no superficial varicose veins, the left femur can reach the size of about 10 cm × 8 cm mass hard tumor, the surface is still smooth, the base of the fixed, not Promote, with the surrounding tissue is still clear, slight tenderness on the surface of the tumor, no obvious radiating pain, local skin