左下肢多发软组织与肿瘤二次术后复发伴梗阻性黄疸一例诊治.pdfVIP

Asian Case Reports in Oncology 亚洲肿瘤科病例报告, 2014, 3, 1-5 /10.12677/acrpo.2014.31001 Published Online January 2014 (/journal/acrpo.html) Diagnosis and Treatment of a Patient with Recurrence of Multiple Soft Tissue Tumors in Left Lower Extremity after Twice Operations for 2 Years with Unclear Pathological Diagnosis and Obstructive Jaundice Xi Xia, Huaidong Cheng Cancer Center of the Second Affiliated Hospital of Anhui Medical University, Hefei Email:126.com Received: Nov. 3rd th th 2013; revised: Nov. 16 , 2013; accepted: Nov. 20 , 2013 Copyright © 2014 Xi Xia, Huaidong Cheng. This is an open access article distributed under the Creative Commons Attribution License, which per- mits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. In accordance of the Creative Com- mons Attribution License all Copyrights © 2014 are reserved for Hans and the owner of the intellectual property Xi Xia, Huaidong Cheng. All Copy- right © 2014 are guarded by law and by Hans as a guardian. Abstract: This paper reports on the diagnosis and treatment of patients with multiple soft tissue tumors. Keywords: Soft Tissue Tumor; Lymph Node Metastasis; Bone Metastasis 左下肢多发软组织肿瘤二次术后复发伴梗阻性黄疸一例诊治 夏 曦，程怀东 安徽医科大学第二附属医院肿瘤中心，合肥 Email:126.com 收稿日期：2013 年11 月3 日；修回日期：2013 年11 月16 日；录用日期：2013 年11 月20 日 摘 要：本文对一例全身多发软组织肿瘤患者的发病及诊治过程进行报道。 关键词：软组织肿瘤；淋巴结转移；骨转移 1. 引言 块，未予重视及诊治，2012-8 月肿块进行性增大，局 部皮温稍高，触之质韧，推之活动度尚可，压痛(+) ， 患者何XX ，男，71 岁，退休教师，汉族，合肥 不影响关节活动。2012-08-15 在某三甲医院骨科予以 市经开区人，系发现左下肢肿块2 年余，术后一年余， 行 “左膝包块切除术”，术后病理示：(左膝)梭形细 二次术后三月余伴左下肢肿痛一月入院。既往无肝炎、 胞瘤，考虑神经纤维瘤。免疫组化示CD68(部分肿瘤 结核、高血压病、糖尿病病史，曾有胃溃疡、及痔疮 细胞+) ，LCA(淋巴细胞+) ，P53(少量肿瘤细胞+) ， 病史，2005 年有背部包块(背脊部神经鞘瘤)切除史及