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1 病例报告 患者,男,21岁,因右颞部包块9个月入院。查体:右侧颞顶、颞枕分别触及4cm×5cm×4cm、1cm×1.5cm×1cm包块,高出颅骨,边界不清,质硬,压痛,不活动,无血管杂音。心肺腹及神经系统检查未见阳性体征。X线片示右颞部颅骨低密度改变。CT检查右颞部骨质缺如,提示颅骨肿瘤。各项辅助检查未见异常。临床诊断为颅骨恶性肿瘤。手术中见肿瘤主要累及颞肌,2cm×3cm×1cm,无包膜。肿瘤切面呈鱼肉状、无出血。颞顶部骨质缺如,深达内板,颞枕部无骨质破坏。术后病理组织学检查报告:瘤细胞梭型,呈腺泡状,
A case report patient, male, 21 years old, was admitted to the right temporal mass for 9 months. Physical examination: the right temporal roof, temporal pillow were touched 4cm × 5cm × 4cm, 1cm × 1.5cm × 1cm mass, higher than the skull, the boundary is unclear, hard, tenderness, inaction, no vascular noise. Cardiopulmonary and neurological examination showed no positive signs. X-ray showed right temporal skull low density changes. CT examination of the right temporal bone loss, suggesting that the skull tumor. Auxiliary examination showed no abnormalities. Clinical diagnosis of skull cancer. Surgical see the tumor mainly involving the temporalis muscle, 2cm × 3cm × 1cm, no capsule. Tumor section was fish-shaped, no bleeding. Temporal absence of the top of the bone, deep inner plate, temporal occipital boneless destruction. Postoperative histopathological examination report: tumor cell spindle type, acinar,