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患者女,35岁。因右膝部渐增性包块伴疼痛2个月余入院。患者右膝部肿痛以夜间明显,呈渐进性发展,无发热、盗汗,无咳嗽、咳痰,无四肢小关节僵硬及游走性疼痛,近2周来体重减轻约5 kg。体检:右髌韧带前内侧明显隆起,部分皮肤青紫(封闭部位),无破溃,局部皮温高于对侧,皮下可触及一直径约6 cm大小的圆形肿块,质硬中,压痛明显,无波动感,边界模糊,无活动性,右膝关节屈伸活动明显受限。X线平片示:右膝关节骨质未见明显异常。
Female patient, 35 years old. Due to the right knee mass with mass more than 2 months admitted to hospital. Right knee pain in patients with obvious at night, was progressive development, no fever, night sweats, no cough, sputum, no limb joint stiffness and migratory pain, weight loss in the past 2 weeks about 5 kg. Physical examination: the right patellar ligament before the medial prominent bulge, some skin bruising (closed parts), no rupture, local skin temperature higher than the contralateral, subcutaneous reach a diameter of about 6 cm in diameter round mass, hard, tenderness significantly , No fluctuation, fuzzy boundaries, no activity, right knee flexion and extension activities were significantly limited. X-ray showed: right knee bone no obvious abnormalities.