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腺泡状软组织肉瘤(alveolar soft-part savcoma)为不常见的恶性软组织肿瘤,这种肿瘤常转移至肺、脑和骨,但多发性转移者十分罕见。我院收治1例,经手术摘除脑转移瘤后效果良好,现报告如下: 患者女,26岁,1974年患右上臂内侧肿瘤,全切后病理检查为“肉瘤”。77年8月,左上臂内侧亦出现类似肿瘤,再次手术切除,病理论断:腺泡状软组织肉瘤(病检号77-1040)。同时拍胸片:两肺见直径约 2～4 cm的球形高度密阴影,共8个,边界清楚。较集中于右侧肺门区。无法手术切除。1986年6月开始,剧烈头痛,恶心呕吐,视力减退,左上、下肢无力,并有黑便,卧床不起。于7
Alveolar soft-tissue savcoma is an uncommon malignant soft tissue tumor that often metastasizes to the lung, brain, and bone, but multiple metastases are rare. In our hospital, 1 case was treated, and the effect was good after the operation of brain metastases removal. The report is as follows: Female patient, 26 years old, with medial right upper arm tumor in 1974 and pathological examination of “sarcoma” after total resection. In August of 1977, a similar tumor appeared in the medial upper left arm. Resection was performed again. The pathology was: acinar soft tissue sarcoma (Disease No. 77-1040). At the same time to take chest X-ray: two lungs see the diameter of about 2 ~ 4 cm spherical dark shadow, a total of 8, the boundary is clear. More focused on the right hilar area. Can not be surgically removed. Beginning in June 1986, severe headache, nausea and vomiting, vision loss, upper left, lower limb weakness, and black, bedridden. At 7