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腺泡状软组织肉瘤(又名恶性腺泡状颗粒细胞瘤)是比较少见的恶性肿瘤,文献报告国内生存最长的是15年。患者,女性,26岁,1986年7月入院,患者自1970年发现右上臂内侧中段有一红枣大小无痛性包块,在单位手术切除,病理报告“肉瘤”。于1977年左上臂内侧又发现同样大小的肿块,来本院手术切除。病理检查;腺泡状软组织肉瘤。同时拍胸片发现两肺部有6个大小不等的球形阴影,以后无明显自觉症状。1986年春季开始出现头痛,恶心,呕吐,进行性加重。神经系统检查;双眼底水肿有渗出,以右侧为甚。左肌力较右侧明显减弱达Ⅲ°,肌张力不高,病理反射左侧巴彬斯基征阳性。头颅 CT 片;右侧顶后占位性病变,转移瘤可能性大。Hb5.5g,大便潜血试验强阳性。给输血1200cc 后,于8月行右顶后开颅术,脑压极高,顶后皮层
Alveolar soft tissue sarcoma (also known as malignant alveolar granulosa cell tumor) is a relatively rare malignant tumor. The literature reports that the longest domestic survival is 15 years. The patient, female, was 26 years old and was admitted to the hospital in July 1986. Since 1970, the patient had found a red date-sized painless mass in the medial midsection of the right upper arm. The unit was surgically removed and the pathology reported “sarcoma.” In 1977, the same size tumor was found on the inside of the left upper arm and was surgically excised. Pathological examination; alveolar soft tissue sarcoma. Simultaneously taking a chest radiograph, we found that there were 6 spherical shadows of different sizes in both lungs, and no apparent symptoms were seen afterwards. In the spring of 1986, headaches, nausea, and vomiting began to increase. Nervous system examination; edema of both fundus edemas, especially to the right side. The left muscle strength was significantly reduced from the right side by up to III°, the muscle tone was not high, and the pathological reflex was positive on the left Babinski’s sign. Skull CT scans; occupying lesions at the top of the right side; metastatic tumors are highly likely. Hb5.5g, fecal occult blood test strong positive. After a blood transfusion of 1200 cc, a craniotomy was performed after the right top in August. The brain pressure was extremely high and the parietal cortex