针吸细胞学诊断腋窝恶性黑色素性神经鞘瘤1例

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患者男性,47岁。因左腋窝肿块8年,左前臂萎缩2年,左手麻木8个月就诊。查体:左侧腋窝见一肿块,7 cm×5 cm大小,突出皮肤表面,质稍硬、界清,活动度差,无压痛,无静脉怒张。肿块位于皮下深层,表面光滑;左前臂尺侧、左手大鱼际肌萎缩,左手掌桡侧、拇、食、中指感觉减退,左屈腕力下降,对掌功能受限。MRI示左侧腋窝及左肱骨内侧软组 Male patient, 47 years old. Due to left axillary tumor for 8 years, left forearm atrophy 2 years, left numb 8 months treatment. Physical examination: the left axillary see a mass, 7 cm × 5 cm in size, highlighting the skin surface, slightly qualitative hard, clear, poor activity, no tenderness, no venous anger. Mass is located in the subcutaneous deep, smooth surface; ulnar left forearm, left a large intestine muscle atrophy, left hand radial, thumb, food, middle finger decreased sensation, decreased left wrist power, limited function of the palm. MRI showed left armpit and medial left humerus soft tissue
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