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患者女性,42岁。脐周缓慢生长无痛性肿物2年,无外伤史,无明显不适。查体:于脐周部可见一大小约1.5 cm×1.5 cm×1 cm的肿物,呈息肉状隆起于皮肤表面,表面呈灰褐色,无红肿及破溃。触诊肿物呈囊实性,与周围组织分界清楚,无明显压痛,无其他阳性体征。临床诊断:脐周肿物性质待查。行脐周肿物细针穿刺,进针后感觉质软,抽出半透明胶冻样物少许,肿物较穿刺前略缩小。病理检查细胞病理学:在大量黏液背景中瘤细胞形态
Patient female, 42 years old. Slow growth of umbilical painless tumor for 2 years, no history of trauma, no obvious discomfort. Examination: in the umbilical weeks visible a size of about 1.5 cm × 1.5 cm × 1 cm of the tumor, polypoid uplift in the skin surface, the surface was brown, no swelling and ulceration. Palpation mass was palpable, clear boundaries with the surrounding tissue, no significant tenderness, no other positive signs. Clinical diagnosis: the nature of the umbilical tumor to be investigated. Line umbilical fine needle puncture, after injection needle feels soft, a small sample of translucent jelly, the tumor slightly smaller than before puncture. Pathological examination of cytopathology: tumor cell morphology in a number of mucus-rich backgrounds