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男性,29岁,农民.以右肩胛部隐痛半年余,劳累后加重休息后缓解而就诊.行X线及CT检查,见右肩胛骨外缘有一5×3cm大小之骨性破坏区,向外隆起,边界不清,内有斑点状密度不一的骨性影,以肩胛骨软骨肉瘤之诊断入院.查体:T37℃,P88次/分,BP14.5/8kPa,营养好,全身淋巴结不肿大.右肩部外形正常,无肌萎,关节功能正常仅外展上举时有不适感,于右腋部可扪及鹅卵大类园形包块,发硬,表面不平有压痛.实验室检查正常.治疗经过:在强化加局麻下行手术探查,在右肩胛盂下可见一内大
Male, 29 years old, farmer. He experienced pain for more than half a year in the right scapular area and he was relieved after exhaustion. He was treated with X-ray and CT examination. See the outer edge of the right humerus with a 5 × 3cm skeletal destructive area and bulge outwards. , The border is unclear, there are bony shadows with different densities. Admission to the diagnosis of scapular chondrosarcoma. Physical examination: T37°C, P88 beats/min, BP14.5/8kPa, good nutrition, whole body lymph nodes are not swollen. Right shoulder normal shape, no muscle weakness, normal joint function only disqualification when the abduction on the move, in the right palate and palpable goose egg type garden-shaped mass, hard, uneven surface with tenderness. Check the normal. After treatment: In the enhanced plus local anesthesia, surgical exploration, visible in the right shoulder below a large