患者 ,女 ,2 4岁 ,因右肩胛部发现一鸡蛋大包块 6年余 ,来我部就诊。自发现以来包块无疼痛 ,增大不明显。专科情况 :于右肩胛外上缘皮下扪及一直径约 5cm圆形包块 ,质中等、无压痛 ,与周围皮肤无粘连 ,可推动 ;局部皮肤无异常 ,右腋下淋巴结不肿大。拟诊右肩胛部脂肪瘤 ,在局麻 Patient, female, 2 4 years old, because of the right scapular found a large piece of eggs more than 6 years, to my ministry. Since the discovery of mass without pain, increase not obvious. Specialties: On the right shoulder outside the upper edge of subcutaneous palpable a diameter of about 5cm round mass, medium quality, no tenderness, no adhesion with the surrounding skin, can promote; no abnormal skin, right underarm lymph nodes are not enlarged. To be diagnosed right scapular lipoma at local anesthesia