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患者女 ,5岁。出生时即发现左腹壁肿块伴多颗皮肤结节 ,近 3年来逐渐增大。体检 :左腹壁自耻骨联合止肋弓可触及 10ｃｍ× 12ｃｍ大小的肿块 ,表面粗糙 ,质中无压痛 ,内以腹白线为界 ,外界欠清 ,皮面可见 5颗隆起的结节。肿块穿刺 :进针困难 ,穿刺感为软骨样组织 ,穿刺物检查未
Female patient, 5 years old. Birth at that time found that the left abdominal wall mass with multiple skin nodules, gradually increased in the past 3 years. Physical examination: the left abdominal wall from the pubic symphysis rib can reach 10cm × 12cm size of the tumor, the surface roughness, no tenderness in the mass, with white belly line as the boundary, the outside world is not clear, the leather surface can be seen five uplift nodules. Puncture of the tumor: The needle is difficult, the puncture feeling is cartilage-like tissue, and the puncture is not checked