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骨肉瘤极少见于颅骨,而多发性者则更少见。近来,我们遇见1例幼儿颅骨多发性成骨肉瘤,具有典型的临床特点与X线表现,并经病理证实,报告如下: 郑××,女,4岁,因前额、颅顶部数个大小不等的包快,伴反复发热及两下肢瘫痪,于1978年12月23日入院。患儿一年前,多次跌伤头部,当时红肿,经用草药局部敷贴,肿胀消退。1978年7月开始,发现左额顶部有多处凸起,并逐渐增大。反复间歇性低热,食欲减退,偶于进食过多时呕吐,渐消瘦。同年11月,出现双侧膝关节肿痛,走路不便,进而两下肢瘫痪,小便潴留,言语正常,智力无变化。
Osteosarcomas are rare in the skull, while those with multiple are rarer. Recently, we met a case of multiple skull sarcoma of the skull in young children, with typical clinical features and X-ray findings, and confirmed by pathology, the report is as follows: Zheng × ×, female, 4 years old, due to the forehead, Fast package, with repeated fever and paralysis of both lower extremities, was admitted to hospital on December 23, 1978. A year ago, many children fell head injury, then swelling, local application with herbs, swelling subsided. Beginning in July 1978, it was found that there were many bulges on the top of the left forehead and gradually increased. Repeated intermittent fever, loss of appetite, occasional vomiting when eating too much, getting thinner. In the same year in November, bilateral knee swelling and pain, walking inconvenience, and then the lower limb paralysis, retention of urine, normal speech, no change in intelligence.