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李××,女,46岁。病理号862123。患者一年前跌伤右膝关节,肿胀不能行走。当地卫生院诊断“骨折”(未拍X光片),自敷草药后发现伤处有一鸭蛋大的肿块,疼痛,未作治疗。近五个月来肿物逐渐增至儿头大。临床诊断骨肉瘤收入院。查体心肺正常,肝脾不大,全身浅表淋巴结未触及。右膝关节前方见一20×15×10cm肿块,皮肤呈暗红包,边界不清,移动度差,膝关节活动受限。血象:RBC460万、WBC5500/mm~3。
Li × ×, female, 46 years old. Pathology No. 862123. Patients fell to the right knee a year ago, swelling can not walk. Local hospitals diagnose “fractures” (no X-ray film), since the paramedic found a large duodenal mass of the wound, pain, without treatment. In the past five months, the tumor gradually increased to big head. Clinical diagnosis of osteosarcoma hospital. Physical examination of normal heart and lungs, liver and spleen is not large, systemic superficial lymph nodes not touched. See a 20 × 15 × 10cm mass in front of the right knee joint, the skin is dark red envelopes, the boundary is unclear, mobility is poor, knee activity is limited. Blood: RBC460 million, WBC5500 / mm ~ 3.