论文部分内容阅读
屠某,男,30岁。半年前发现左耳前有一缓慢生长之肿物,伴有张闭口疼痛,经抗生素治疗无效. 临床经过:一般情况好,左耳前颧弓下方可触及3×3×1cm大小肿物,波动感明显,轻度压痛,边界清楚,不活动,基底与颞颌关节粘连,穿刺抽出棕色液体.X线提示颞颌关节结构未见异常。局麻下行肿物切除术,术中发现肿物边界不清,呈深棕色,质脆,基底与颞颌关节囊粘连。术后伤口一期愈合,随访三年无复发。病理诊断:色素绒毛结节性滑膜炎. 讨论:本病较少见,好发于男性青年的膝和踝,其次为髋,腕和肘等关节,偶见于滑囊和腱鞘.病因
Tu Mou, male, 30 years old. Six months ago found a slow growth in the left ear before the tumor, accompanied by Zhang closed mouth pain, the antibiotic treatment is invalid. Clinical experience: the general situation is good, the left anterior zygomatic arch can reach below the size of 3 × 3 × 1cm tumor, flu Obvious, mild tenderness, border clear, inactivity, basement and temporomandibular joint adhesions, punctured out of the brown liquid.X-ray showed no abnormalities in the structure of the temporomandibular joint. Under local anesthesia, tumor resection was performed. The boundary of the tumor was unclear, dark brown and crisp. The basement and temporomandibular joint capsule adhered. Postoperative wound healing, follow-up three years without recurrence. Pathological diagnosis: pigmented villonodular synovitis. Discussion: The disease is rare, occurs in the young men's knee and ankle, followed by the hip, wrist and elbow and other joints, occasionally in the bursa and tendon sheath.