患者女,55岁,双侧跟腱部包块40余年,近1个月来双侧跟腱部疼痛加重,包块明显增大。专科检查:双跟腱部可触及约10 cm×8 cm包块,活动度差,质地硬,未触及波动,双踝关节活动可,其余均正常。实验室检查:血清甘油三脂1.62 mmol/L,低密度胆固醇4.0 mmol/L,总胆固醇12.02 mmol/L,高密度胆固醇1.62 Female, 55 years old, bilateral Achilles tendon mass more than 40 years, nearly a month to the bilateral Achilles tendon pain, mass was significantly increased. Specialist examination: double Achilles tendon can reach about 10 cm × 8 cm mass, poor mobility, texture hard, no touch fluctuations, the activities of the two ankle joints can be, the rest were normal. Laboratory tests: serum triglycerides 1.62 mmol / L, low-density cholesterol 4.0 mmol / L, total cholesterol 12.02 mmol / L, high-density cholesterol 1.62