62岁大叔,左侧大腿出现肿物,检查后考虑为软组织恶性肿瘤
作者 | 王健
文章首发于 | 骨科王健医生
62岁的于大叔,因“发现左侧大腿肿物2月余”入院。自述在2月前就发现左侧大腿内部有肿块了,一开始觉得只是些小事,可能是碰到硬物导致的,所以没太在意。但这2个月来,这个肿块越来越大。家人放心不下,于是陪伴其去了当地医院就诊。
当时行MR示:左股骨部长收肌与大收肌间软组织肿块,考虑纤维源性肿瘤。这个结果一出,吓坏了在广州工作的儿女,于是赶忙回去接于大叔来了我院进行治疗。
入院查体示各项生命体征平稳,专科查体示:左侧大腿内侧见一约7cm×4cm×4cm肿块,局部皮肤色泽正常,未见皮肤破溃、流脓、窦道形成,肿物无压痛,活动度可,边界尚清,质软至韧。
随后完善相关检查,体表肿物彩超:左侧大腿肌间实性低回声团,肌纤维瘤? 左侧股骨正侧位片:骨质未见异常,心电图、双下肢静脉彩超未见明显异常。
结合检查结果及患者情况,建议手术,患者及其家属十分配合。
术前各项检查未见绝对手术禁忌,于是在全麻下行左侧大腿软组织肿瘤扩大切除术+肌腱探查术+肌腱粘连松解术+下肢血管探查术+坐骨神经松解术,术中在长收肌与大收肌间隙可见一大小约7x4cm×4cm卵圆形肿块。
完整切除肿物,送术中冰冻,术中冰冻病理示:(左大腿肿物)考虑为软组织恶性肿瘤,待石蜡切片进一步确诊。
术后,予以护胃、营养神经、止痛、补液及营养支持等治疗,现患者患肢功能恢复可,无特殊不适。建议其遵嘱继续服药,循序渐进行患肢功能锻炼,加强营养以促进切口及自身机能恢复,随访病理结果,根据病理结果进行诊断及治疗。
诊断结果:1.左侧大腿软组织肿物(恶性肿瘤?);2.低蛋白血症;3.轻度贫血;4.两下肺陈旧性病灶。
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