患者女,52岁,发现右胸壁巨大包块50余年,增大伴发热22d。患者自幼即发现右胸壁包块,起初约为小碗大小,随年龄增长逐渐增大,从未诊治。近22d来,包块明显增大并伴有发热。包块有压痛,无红肿。体格检查:右胸壁乳房外上方可见约18cm×20cm大小包块,边界清,质韧,压痛,有波动感,局部 Female patient, 52 years old, found that the right chest wall massive mass more than 50 years, increased fever with 22d. The patient was found that right chest wall mass at first, about the size of a small bowl, with increasing age gradually increased, never diagnosed. Nearly 22d, mass was significantly increased and accompanied by fever. Mass is tender, no swelling. Physical examination: right chest wall outside the top of the breast can be seen about 18cm × 20cm size of the mass, clear boundary, quality and toughness, tenderness, a sense of volatility, local