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患者,女,33岁。手术切除右手掌小鱼际处无痛性包块1年,包块约2×1cm 大小,病理诊断为腺泡状软组织肉瘤,术后行局部放疗。1年后复查发现右肺下叶背段有一个1.2×1cm 类圆形阴影,边缘清晰密度均匀,末发现其它部位转移病灶,于1989年9月7日行右肺下叶背段切除术,病理诊断为肺转移性腺泡状肉瘤。讨论腺泡状软组织肉瘤比较少见,肺部转移更为少见,日本东京大学等9所
Patient, female, 33 years old. Surgical removal of painless masses at the hypothenar of the right hand for 1 year, masses of about 2 × 1 cm in size, pathological diagnosis of alveolar soft tissue sarcoma, and local radiotherapy after surgery. After 1 year of review, it was found that there was a 1.2×1 cm round shadow in the lower segment of the right lower lobe of the right lung. The edge was clear and uniform in density. Other metastatic lesions were found at the end of the right lung. On September 7, 1989, a resection of the right lower lobe was performed. Pathological diagnosis of lung metastatic alveolar sarcoma. Discussion Alveolar soft tissue sarcoma is rare, and pulmonary metastasis is even rarer.