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病例资料患者,男,41岁。因左背部肩胛下区肿物缓慢增大半年,右侧出现对称性肿物4个月入院。查体:一般情况良好,患者随肩关节活动时均于同侧肩胛下区出现一时隐时现包块,无特殊不适。一般在肩关节外展或前屈时肿块突出,呈扁圆形,左侧约9 cm×8 cm大,表面光滑,质地有弹力球样韧性感,无波动及压缩变小感;边界较清晰,无压痛,活动差。随肩关节内收或后伸时肿块消失。右侧肿块与左侧部位对称,但包块小于左侧,轮廓欠清晰,其余特征与左侧肿块基本相似。手术所见:两侧肿块均位于肩胛下背阔肌与菱形肌深面,内侧深面以腱样组织附着于肋骨骨膜及肋间韧带上,呈扁平状,无包膜,质地硬韧,断面呈灰白色,可见
Case information patient, male, 41 years old. Due to the left back of the scapular tumor slowly increased six months, the right side of the symmetrical mass 4 months admission. Physical examination: the general situation is good, patients with shoulder joint activities are in the ipsilateral subscapular area appears temporarily occult mass, no special discomfort. Usually when the shoulder joint flexion or flexion mass prominent, was oblate, left about 9 cm × 8 cm large, smooth surface, the texture of elastic ball-like toughness, no fluctuations and compression sense of small; more clear boundary , No tenderness, poor activity. Shoulong joint adduction or extension after disappearing. The right mass is symmetrical with the left mass, but the mass is smaller than the left mass, the outline is not clear, and the remaining features are similar to those in the left mass. Surgical findings: the lumps are located on both sides of the subscapular parietal latissimus dorsi and deep facial rhombus, medial deep to tendon-like tissue attached to the rib periosteum and intercostal ligament, was flat, non-enveloped, tough texture, section It is gray and visible