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患者,女,31岁,自幼右耳后有一肿块,无任何不适。查体:右耳后有一3cm×c3m×3cm肿块,呈半球状突起,局部毛发分布均匀,头皮色泽无异常,囊性感,质较硬,活动度差,无压痛,听诊无血管杂音,穿刺抽出皮脂样粥状物0.5ml,未行甲胎球蛋白、X线拍片及B超检查。术前诊断:右耳后皮样囊中。次日门诊局麻下行皮样囊肿切除术,术中见囊壁与周围组织无粘连,颅骨呈半球状凹陷,外板完好,完整切除后缝合包扎,术后第7天拆线,切口甲级愈合,随访3年无任何不适。病检见囊内有毛发、牙齿、脂肪、软骨等组织。病理报告:右耳后良性畸胎瘤
Patient, female, 31 years old, had a lump since her childhood right ear without any discomfort. Physical examination: the right ear after a 3cm × c3m × 3cm mass, hemispherical protrusions, local hair evenly distributed, no abnormal color scalp, cystic sexy, hard quality, poor mobility, no tenderness, auscultation without vascular murmurs, puncture out Sebaceous porridge 0.5ml, did not line A fetuin, X-ray and B-ultrasound. Preoperative diagnosis: the right posterior dermoid capsule. The next day the out-patient local anesthesia dermoid cyst excision, intraoperative see the wall and the surrounding tissue without adhesion, the skull was hemispherical depression, the outer plate intact, after complete resection sutured, stitches after the first 7 days, incision grade Healed, followed up for 3 years without any discomfort. Disease inspection found the capsule has hair, teeth, fat, cartilage and other organizations. Pathology report: right teratoma after teratoma