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患者女性,24岁,未婚,教师。因左腹股沟包块二月余,于1986年12月22日入院。入院前两个月渐感左侧腹股沟部疼痛,并可触到一个包块。在当地医院疑为“淋巴结炎”,静滴红霉素,肌注链霉素,一周后疼痛减轻,但包块渐增大。入院前两周疼痛加重,并向会阴部放射,又按上述治疗无效。查体:浅淋巴结不肿大。左腹股沟下方有一包块约7×8×6cm。表面光滑,呈分叶状,质地中等,囊性感,轻触痛,包块固定。 B超提示:包块6×5×3cm,边界清楚,边缘光整,内部可见液性暗区及不均质团块。手术:1986年12月26日在单次硬膜外麻醉下行
Patient Female, 24 years old, single, teacher. Due to the left groin mass more than February, on December 22, 1986 admission. Gradually two months before admission, left groin pain, and can touch a mass. Suspected in the local hospital as “lymphadenitis”, intravenous erythromycin, intramuscular injection of streptomycin, reduce pain after a week, but the mass gradually increased. The pain increased two weeks before admission, and radiation to the perineum, according to the above treatment is invalid. Examination: shallow lymph nodes are not swollen. Left under the groin there is a mass of about 7 × 8 × 6cm. Smooth surface, lobulated, medium texture, cystic sexy, touch the pain, mass fixation. B-Tip: mass 6 × 5 × 3cm, the boundary is clear, the edge of the whole, the internal liquid dark area and visible heterogeneous mass. Surgery: December 26, 1986 under a single epidural anesthesia