论文部分内容阅读
患者,男,61岁,因右足内踝复发性肿块2月伴右腹股沟淋巴结肿大入院。1年前病人曾因右踝肿物入院,术中因肿物与神经、血管粘连,未予完整切除,术后病理诊断:颗粒细胞瘤。本次术前体检:右踝见8cm×7cm×3cm肿物,固定;右腹股沟淋巴结4cm×3cm×1cm,活动。手术行右膝关节上敲肢术及右腹股沟淋巴结清扫术。术后病理诊断:恶性颗粒细胞瘤、腹股沟淋巴结内转移。病理检查膝关节上离断的右侧肢体1件,踝关节附
The patient, male, 61 years old, was admitted to the hospital with a recurrent tumor of right foot internal malleolus for 2 months with lymphadenopathy of the right inguinal groove. One year ago, the patient was admitted to the hospital because of a right orbital mass. During the operation, the mass was not completely resected due to adhesion of the mass to the nerves and blood vessels. Histopathological diagnosis was granular cell tumor. The preoperative physical examination: right iliac see 8cm × 7cm × 3cm tumor, fixed; right groin lymph node 4cm × 3cm × 1cm, activity. Surgery was performed on the right knee joint and on the right inguinal lymph node dissection. Postoperative pathological diagnosis: malignant granulosa cell tumor, inguinal lymph node metastasis. Pathological examination of the right side of the knee joint off a limb, ankle joint attached