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1临床资料患者男,51岁。右肩肿物16年,迅速生长、破溃伴瘙痒和疼痛半年。16年前患者右肩出现一棕色痣样肿物,指甲大小,伴瘙痒,本院门诊予皮肤肿物切除术,术后病理示良性肿瘤,恢复良好。约2年前原皮损部位再次长出肿物,逐渐增大,半年前始右肩肿物迅速生长,约8cm×6cm×10cm大小,见破溃、渗血和渗液,于本院行皮肤活检术,病理结果示梭形细胞肿瘤,不除外隆突性皮肤纤维肉瘤和神经纤维瘤或平滑肌瘤。皮肤科
1 Clinical data Patient male, 51 years old. Right shoulder tumor for 16 years, rapid growth, rupture with itching and pain for six months. 16 years ago, a brown nevus-like mass appeared on the right shoulder of the patient. The size of the nails, accompanied by pruritus, was removed from the hospital to the skin and the benign tumor showed good recovery after the operation. About 2 years ago, the original lesion again grows tumor mass, gradually increased, the first half a year ago the rapid growth of right shoulder tumor, about 8cm × 6cm × 10cm size, see ulceration, bleeding and exudate in our hospital skin Biopsy, the pathological results showed spindle cell tumors, no exception, salivary cutaneous fibrosarcoma and neurofibromatosis or leiomyoma. dermatology