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临床资料患者,女,34岁,因“左胫骨骨膜骨肉瘤术后9个月,发现左胫前肿块半年余”之主诉入院。2010年9月,因左胫前软组织肿块于外院行肿瘤切除术,术后病理为:骨膜骨肉瘤。手术后6个月偶然发现原手术瘢痕处出现肿物,进行性生长,伴疼痛,行走时加重,休息后减轻。体格检查:左胫骨前方瘢痕处隆起,皮肤不红,皮温不高,未见静脉怒张,肿块3cm×2cm×1cm大小,质地
Clinical data Patients, female, 34 years old, due to “left tibial periosteal osteosarcoma 9 months after surgery and found that the left anterior tibial mass more than six months,” the main complaint was admitted. In September 2010, due to left anterior tibial soft tissue mass tumor resection outside the hospital, postoperative pathology: periosteal osteosarcoma. Occasionally, six months after the operation, a tumor appeared on the original surgical scar, which progressed with pain and aggravated when walking, and was relieved after the rest. Physical examination: left tibia bulge in front of the scar, the skin is not red, skin temperature is not high, no venous distention, mass 3cm × 2cm × 1cm size, texture