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患男,17岁。缘于1月前劳动后自觉左大腿下段隐痛,可摸及一硬包块,有压痛。当地医院诊断为“成骨肉瘤”,遂转入我院。 入院查体:左大腿下段内侧略肿,皮肤温度不高,可触及一约8cm×4cm×3cm的深部包块,质硬,有轻度压痛,无移动,下肢感觉循环正常,活动尚好。X线片见:左股骨下段骨质密度增高,有明显骨膜反应,沿骨干内后侧有密度增高的病骨增生,呈放射状针形阴影,骨髓腔模糊。实验室检查:肝肾功能正常,血沉不快,本周氏蛋白(-),碱性磷酸酶236nmol/s临床考虑
Suffering from a man, 17 years old. Due to the pain in the lower thighs of the left lower thighs after labor, it can be felt as a hard mass and there is tenderness. The local hospital diagnosed as “osteosarcoma” and transferred to our hospital. Admission examination: the left lower thigh is slightly swollen inside the lower part of the skin temperature is not high, can touch a deep mass about 8cm × 4cm × 3cm, hard, mild tenderness, no movement, lower limbs feel normal circulation, activities are still good. X-ray findings: increased bone density in the lower part of the left femur, there is a significant periosteal reaction, along the back of the backbone there is increased density of disease bone hyperplasia, radial needle-shaped shadow, bone marrow cavity is fuzzy. Laboratory tests: normal liver and kidney function, erythrocyte sedimentation rate, Zhou’s protein (-), alkaline phosphatase 236nmol/s clinical considerations