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1临床资料患者,女性,54岁,于30 d前无意发现右肩胛下肿物,当时未予以重视。包块逐渐增大,20 d前就诊当地医院,摄片提示右肩胛下见软组织样肿物,未累及胸膜,要求行手术切除。为进一步诊断与治疗于2014年10月10日就诊军事医学科学院附属医院烧伤整形科门诊,以拟诊“右肩胛下肿物”入院。查体:右肩胛下肿物,位于肩胛骨最下缘,大小6.0 cm×6.0 cm×4.0 cm,类圆形包块,质韧,活动度尚可,压痛(-),局部皮肤无明显红肿等感染征象,无窦道形成。
1 Clinical data Patients, female, 54 years old, had no intention of finding a right sub-subscapular tumor 30 days before, and were not taken seriously. Mass gradually increased, 20 days before visiting the local hospital, the right tip of the film prompted to see soft tissue-like tumor mass, did not affect the pleura, requiring surgical resection. On October 10, 2014, for further diagnosis and treatment, he was admitted to the Department of Burns and Plastic Surgery of the Affiliated Hospital of Academy of Military Medical Sciences on October 10, 2014, and admitted to hospital for diagnosis of “right sub-subscapular tumor”. Physical examination: the right sub-subscapular tumor, located in the lowest edge of the scapula, the size of 6.0 cm × 6.0 cm × 4.0 cm, class round mass, quality and toughness, activity was acceptable, tenderness (-), local skin no obvious swelling Signs of infection, no sinus formation.