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患者,男性,12岁。1970年3月因左大腿肿痛三个月入院。体检:左膝关节外上方明显肿胀,局部皮肤紧张发亮,温度增高,可见静脉扩张。左股骨下段外侧可触及8×7cm 大小肿块,质硬、不活动、有明显压痛。实验室检查:Hb10.4g,WBC7,500,N69%,L29%,血钙11mg%,血沉5mm/h。X 线片示:左股骨干骺端外侧皮质部分缺损,且见不规则的骨膜新生骨,外前方见一肿瘤软组织影,其中有不规则之新生骨化。X 线诊断:骨膜型成骨肉瘤。
Patient, male, 12 years old. In March 1970, he was admitted to the hospital with swelling and pain in his left thigh for three months. Physical examination: The upper part of the left knee joint is obviously swollen, the local skin is intensely bright, and the temperature increases, showing that the veins are expanding. The left side of the lower part of the left femur can reach a size of 8×7cm in size, which is hard, inactive, and tender. Laboratory tests: Hb10.4g, WBC7, 500, N69%, L29%, serum calcium 11mg%, ESR 5mm/h. An X-ray film showed a partial defect of the lateral cortex of the left femoral metaphysis, and irregular periosteum was seen. A tumor soft tissue shadow was seen in the outside, and irregular ossification was observed. X-ray diagnosis: periosteal osteosarcoma.