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患者男性,60岁。43年前发现右大腿上段一无痛性包块,约鸽蛋大小,无任何不适,未作任何治疗,后逐渐增大至成人拳头大小就诊。查体:右大腿处见一10 cm×8 cm大小肿块,质中,无压痛,活动度可,患肢末梢血运及感觉正常。CT示右股骨上段后缘多发性肿瘤性病变。临床诊断:神经纤维瘤。术中见肌肉组织至皮下组织间有一18 cm×12 cm×8 cm大小肿块,质中,无明显包膜,边界较清楚,局部有粘
Male patient, 60 years old. 43 years ago, found a right upper thigh painless mass, about a dozen egg size, without any discomfort, without any treatment, and gradually increased to adult fist size treatment. Physical examination: see a 10 cm × 8 cm mass at the right thigh, mass, no tenderness, mobility, limb blood flow and the normal feeling. CT showed right upper femur posterior multiple tumor lesions. Clinical diagnosis: Neurofibromatosis. Intraoperative muscle tissue to the subcutaneous tissue between a 18 cm × 12 cm × 8 cm size mass, the mass, no significant envelope, the border is more clear, the local sticky