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病例介绍患者男性,8岁。因间歇性发热伴游走性关节痛五月余,头痛一周,CT示脑肿瘤于1985年7月14日作脑外科手术。病理诊断:神经母细胞瘤。经VCR+CTX+CCNU等联合化疗缓解出院。此后门诊采用小剂量顺铂+VM26持续治疗三年余,未发现明显不良反应。1989年1月30日因尿VMA持续不降二月余伴右额顶部肿块再次入院。体检:面色苍白、双下肢散在淤点,右额顶部2.5×2cm肿块,质硬固定,无痛。心肺腹(-)。实验室检查:
Case presentation Male, 8 years old. Intermittent fever with travel joint pain for more than five months, headache for one week, CT showed brain tumors on July 14, 1985 for brain surgery. Pathological diagnosis: neuroblastoma. Relief discharged after combined chemotherapy such as VCR+CTX+CCNU. Afterwards, the patient was treated with low-dose cisplatin+VM26 for more than three years and no obvious adverse reactions were found. On January 30, 1989, urinary VMA continued to fall for more than two months and the right frontal mass was re-admitted. Physical examination: pale, with two lower limbs scattered in the collaterals, and a 2.5×2cm mass at the top of the right frontal part, hard and fixed, and painless. Cardiopulmonary belly (-). Laboratory inspection: