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患者,女性,56岁。因左乳巨大包块于1990年初行乳房单纯切除,病理诊断“乳房纤维瘤”。术后恢复良好。半年前发现原切口外上方有一核桃大小包块,于1996年6月14日再次入院。体检:一般情况好,营养中等,胸廓对称,左乳缺如,可见10cm×2cm纵形疤痕,其外上方隆起如为小核桃大,轻压痛,质硬,稍可活动。局部皮肤无红肿,左腑下未扪及肿大淋巴结,右乳正常,心肺无异常。拟诊左乳纤维瘤,在局麻下行左乳包块切除。包块约2.5cm×2.5cm,外有一增厚的纤维膜包裹,完整切除。肉眼见包块
Patient, female, 56 years old. Due to the huge mass of his left breast, he underwent a simple resection of the breast in early 1990 and his pathological diagnosis of “breast fibroids”. Good recovery after surgery. Half a year ago, he found out that there was a small piece of walnut on the outside of the original incision and was admitted again on June 14, 1996. Physical examination: Generally good, moderate nutrition, thoracic symmetry, lack of left breast, visible 10cm × 2cm vertical scar, the top of the outer bulge as a small walnut, light tenderness, hard, slightly activity. There was no redness in the local skin, no palpable lymph nodes in the left lower jaw, normal right breasts, and no abnormalities in the heart and lungs. The left breast fibroma was supposed to be diagnosed and the left breast mass was removed under local anesthesia. The mass was about 2.5cm x 2.5cm, wrapped with a thickened fibrous membrane and completely resected. See the mass with naked eyes