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患者,男,30岁.1993年8月.因头痛,头晕,有时恶心5年余而来医院就诊.自述右胫骨近端可触及质地较硬的肿物.查局部软组织无红肿、疼痛,浅表静脉无怒张.体检:发育正常,营养中等,体位自如,神清合作.体温36.5℃.脉膊72次/分.血压15/10kPa.心肺听诊无异常改变.实验室检查无异常.右膝关节 X 线正侧位平片所见:右胫骨干骺端前外侧可见一背离关节生长的骨性肿物,基底部呈蒂状,窟体内见有骨小梁与骨相连.X 线诊断为右胫骨骨软骨瘤.头部 CTOM 线冠状面平扫:右侧鞍旁蝶骨上可见一向上突起的高密度肿物,肿物大小约为3.4cm×4.2cm,边缘清晰而不甚规则,呈菜花状凸起.改
Patient, male, 30 years old. August 1993. Headaches, dizziness, and sometimes nausea came to the hospital for more than 5 years. The self-reported proximal humerus can touch the harder mass. Check the local soft tissue without swelling, pain, and shallow. There is no engorgement of the epiphyseal vein. Physical examination: normal development, moderate nutrition, comfortable posture, Shen Qing cooperation. Body temperature 36.5°C. Pulses 72 beats per minute. Blood pressure 15/10kPa. No abnormal changes in heart and lung auscultation. No abnormalities in laboratory tests. The X-ray of the knee joint is seen on the lateral plain film: A osseous mass that faces away from the joint can be seen on the anterolateral side of the right metatarsal. The basal part is pedunculated. The trabecular bone is connected with the bone in the cave. X-ray diagnosis For the right tibial osteochondroma. CTOM line of the head coronal scan: There is an upwardly protruding high density tumor on the right parasellar. The size of the tumor is approximately 3.4cm x 4.2cm. The edges are clear and not very regular. , Was cauliflower-like raised.