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错构瘤多发生在肺、肝、肾、纵隔、腹膜后、乳腺等部位。发生在颈部皮下者,文献中未查见报告,本院近30年来仅遇见1例,报告如下。患者男 25岁住院号59990,2年前无意中发现颈左侧约2×2cm大小肿块,伴不适、隐痛,肿块柔软、活动,消炎不见好转,于1986年12月15日收入院。检查:全身情况好,唯颈部左侧,锁骨头上方,胸锁乳突肌表面可触及肿物6×3×2cm,质软,活动,与甲状腺无关,临床诊断脂肪瘤,于1986年12月22日在静脉麻醉下行切除术。术中见肿物位于胸锁乳突肌肌束间,部分深入锁骨后方。肿瘤浅粉黄色,有包膜,与周围无粘连,手术切除顺利。
Hamartomas often occur in the lungs, liver, kidneys, mediastinum, retroperitoneum, and mammary glands. Occurred in the subcutaneous neck, the literature did not check the report, the hospital only met 1 case in the past 30 years, the report is as follows. A 25-year-old patient was hospitalized at 59990 years old. Two years ago, a 2x2cm mass was found on the left side of the neck, with discomfort and pain. The mass was soft, and the activity was not improved. He was admitted to the hospital on December 15, 1986. Examination: General condition is good, only the left side of the neck, above the clavicle, sternocleidomastoid muscle surface can touch the mass 6 × 3 × 2cm, soft, active, and thyroid has nothing to do, clinical diagnosis of lipoma, in 1986 12 On the 22nd, an intravenous anesthesia was performed for resection. The tumor was located between the sternocleidomastoid muscle bundles and partially deep behind the clavicle. The tumor was light yellow in color and coated with no adhesion to the surrounding area. The surgery was performed smoothly.