原发性血源性横纹肌结核十分罕见。因本病并无特征性临床表现,故术前诊断困难,常延误治疗。因此有必要对此疾病进行探讨。典型病例患者女性,20岁。大学生。1991年3月11日以一个月前左肩部无诱因的出现隐痛,无意触及一卵黄大包块,抗炎治疗末见好转,并疼痛加重就诊。门诊诊断为左肩斜方肌纤维瘤收入院。既往及家族史; Primary blood-borne tuberculous tuberculosis is very rare. Because there is no characteristic clinical manifestations of the disease, so preoperative diagnosis is difficult and often delayed treatment. Therefore, it is necessary to discuss this disease. Typical case Patient Female, 20 years old. College Students. March 11, 1991 to a month ago left shoulder no incentive to appear painful, unintentionally touched a large piece of yolk, anti-inflammatory treatment did not improve, and the pain increased treatment. Outpatient diagnosis of left anterior trapezius fibromatosis income hospital. Past and family history;