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女性、42岁、1980年7月发现在腹股沟部蚕豆大肿块、不痛、无红热,经抗炎治疗无效、肿块增至5cm直径,9月在外院行手术切除,未作病理检查。术后肿块迅速复发,并增大至8cm直径。1981年1月再次切除,病理检查为胚胎型横纹肌肉瘤。同年2月发现左髂凹淋巴结转移,形成5×7×3cm~3肿块,完全固定,而来我院治疗,因直接手术有困难,先行术前放疗,~(60)Co4000rads/27天。放疗后肿块曾缩小约1/2,但不久又增大达9cm直径。5月采用化疗:C.T.X400mg.V.C.Rlmg.ACT-D400μg.iv。Adremycin 40mg
Females, 42 years old, and July 1980 found a large mass in the inguinal canal, no pain, and no red heat. The anti-inflammatory treatment failed and the mass increased to 5 cm in diameter. Surgical resection was performed outside the hospital in September and no pathological examination was performed. The postoperative mass rapidly recurred and increased to 8 cm in diameter. After re-excision in January 1981, the pathological examination was embryonal rhabdomyosarcoma. In the same year, in February of the same year, lymph node metastasis of the left orbital axilla was found, and a 5×7×3cm~3 mass was formed. It was completely fixed and came to our hospital for treatment because of difficulty in direct surgery. Preoperative radiotherapy was performed first, and it was ~(60)Co4000rads/27 days. After radiotherapy, the tumor was reduced by about 1/2, but soon it was increased to a diameter of 9 cm. Chemotherapy was used in May: C.T.X 400 mg.V.C.Rlmg.ACT-D 400 [mu]g.iv. Adremycin 40mg