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男 28岁。左颧部无痛性肿物一年余,近半月来增长明显。查体,左颧部3×3cm~2圆形肿物,表面光滑,边界清楚,质地较硬,触之有针刺样疼痛,与皮肤粘连,基底活动欠佳,颌下淋巴结未扪及,瓦氏拉摄片无骨质异常改变,见软组织肿物影。于1990年4月28日在局麻下行肿物摘除术,肿物基底与骨膜粘连,切除肿物,骨皮质未见破坏,瘤体呈哑铃状,无包膜,外观及剖面均呈灰红色,剖面有囊性区及棕色胶样液,切口一期愈合。病理报告;镜下见长梭形瘤细胞,核稍大,偶见核分裂像,束
Male 28 years old. Left ankle painless masses more than a year, significant growth in the past half months. Physical examination, 3×3cm~2 round tumor on the left ankle, smooth surface, clear boundary, hard texture, acupuncture-like pain, adhesion to the skin, poor basal activity, unobstructed submandibular lymph nodes, The Valsalva photographs showed no bone abnormalities, see soft tissue tumors. On April 28, 1990, the tumor was removed under local anesthesia. The base of the tumor was adhered to the periosteum. The tumor was resected and the cortical bone was not damaged. The tumor was dumbbell-shaped and no capsule. The appearance and cross section were grayish red. There was a cystic area and a brown gel sample in the section, and the incision healed in one phase. Pathology report; long spindle spindle cells with slightly larger nuclei, occasionally seen as mitotic figures, bundles