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患男,53岁。因左膝部胀痛20年于1997年9月8日入院。曾在外院就诊,诊断不明,故来我院治疗。查体:神志清楚,营养中等。左胫骨上端见一约4cm×3cm包块,境界不清,X线:左胫骨上端偏心性溶骨性破坏,皮质变薄达关节面,无骨膜反应。胸部X线及腹部脏器B超正常。血放射免疫检查AFP、CEA、β_2-m、SF正常。AKP10U,ESR36mm/h。血、尿、粪常规正常。于1997年9月12日采取病灶切除加自体髂骨植骨术。自左胫骨
Suffering from a man, 53 years old. He was admitted to hospital on September 8, 1997 due to pain in his left knee for 20 years. He had been treated in an outside hospital and his diagnosis was unknown, so he came to our hospital for treatment. Physical examination: conscious, moderate nutrition. A mass of about 4cm x 3cm was seen on the upper side of the left tibia, and the boundary was unclear. The X-ray showed that the eccentricity of the left tibia was osteolytic and the cortical thinned up to the joint surface without periosteal reaction. Chest X-ray and abdominal organs B-normal. Blood radioimmunoassay showed normal AFP, CEA, β_2-m, and SF. AKP10U, ESR36mm/h. Blood, urine, feces normal. On September 12, 1997, focal resection and autogenous iliac bone grafting were performed. Left cheekbones