论文部分内容阅读
患儿、女、4岁,出生后即发现右侧乳房部有一质软肿块,约黄豆大小,随年龄逐渐增大,右上肢肩关节无法内屈,肿块比其头颅大2倍以上,从几内亚国家来马里要求手术,患儿于1998年3月14日入中国援马里医疗队卡地医院。 体检:患儿体重14kg,右前胸、腋下肿块边缘清楚,基部较广,触之软硬不一,无压痛,皮肤表面可见静脉充盈。X线检查:胸部正位(前后位图1、后前位图2)示右前胸腋下有一巨大肿块、内至右肺中带、外至右肘关节下缘,上至右锁骨上缘,下至右肋缘水平以下,肿块边缘清晰,内有分隔状,密度高低不均,胸廓受压,前后肋间隙变窄,右肺萎缩,右肩胛骨向右外推移、其骨质无明显破坏征象,纵隔心脏左移,胸部正位片测量肿块约18cm×25cm大小,右侧位(图3)示肿块大于胸部前后径,测量肿块约18cm×20cm大小。诊断为小儿胸壁巨大脂肪瘤。
Children, female, 4 years old, was found after birth a soft mass of the right breast, about the size of soybeans, with age gradually increased, right upper limb shoulder joint can not bend, the tumor larger than its head more than 2 times from Guinea The state came to Mali to request surgery. The children entered Cardinal Hospital of China Amali Medical Team on March 14, 1998. Physical examination: Children weighing 14kg, the right chest, underarm mass clear edge, the base of a wide, hard and soft touch, no tenderness, the skin surface can be seen filling the veins. X-ray examination: chest anteroposterior (anterior and posterior Figure 1, anterior posterior Figure 2) shows the right anterior chest armpit has a huge mass, within the right lung to the band, outside to the right elbow lower edge of the upper right clavicle, Below the level of the right edge of the ribs below the edge of the mass clear, with separated, uneven density, chest compression, narrowing of the intercostal space before and after, the right lung atrophy, right scapula to the right outside the shift, the bone no obvious signs of destruction , Left mediastinum heart, chest film was measured about 18cm × 25cm size, the right position (Figure 3) shows the mass greater than the anteroposterior diameter of the chest, measuring the size of the tumor about 18cm × 20cm. Diagnosis of Pediatric chest wall huge lipoma.