软组织肉瘤所属之横纹肌肉瘤病例,临床报告较为常见。但多形性横纹肌肉瘤较为少见,尤其是机层医院更为罕见。现将笔者治疗的一例报告如下。 患者女性,61岁,本厂退休干部。1991年4月8日因左小腿包块半年,突然增大2月并局部胀痛入院。查体:精神差,面色苍白,浅表淋巴结不大,心、肺无异常。左小腿内上方可见鸡蛋大小的包块。表面光滑,与周围组织分界较清,但活动度差,质硬,压痛不明显,表面皮肤稍发紫,但欠均匀。左下肢活动不受限。化验检查:血Hb98g/L、白细胞7.6×10~9/L No.66、L0.44。局部肿块取活检,病理诊断:多形性横纹肌肉瘤。 手术治疗经过:1991年4月19日在连续硬 Cases of rhabdomyosarcoma belonging to soft tissue sarcoma are more common in clinical reports. However, pleomorphic rhabdomyosarcoma is rare, especially in hospitals. An example of the author’s treatment is reported below. Female patient, 61 years old, retired factory cadre. On April 8, 1991, due to the left calf mass for six months, suddenly increased in February and local pain admitted to the hospital. Physical examination: mentally poor, pale, superficial lymph nodes, no abnormalities in heart and lungs. Egg-sized masses can be seen above the left lower leg. The surface is smooth, and the boundary with the surrounding tissue is clearer, but the activity is poor, the quality is hard, the tenderness is not obvious, and the surface skin is slightly purple but not uniform. Left lower limb activity is not limited. Laboratory tests: Blood Hb98g/L, WBC 7.6×10~9/L No.66, L0.44. A biopsy was performed on the local mass and pathological diagnosis: pleomorphic rhabdomyosarcoma. Surgical treatment: April 19, 1991 in continuous hard