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患者,女性,32岁。于一年前发现左额部发际内一黄豆大质硬、无痛肿块,不活动、渐长大,近来稍压痛。无神经系统表现。查体:神清语利,神经系统未发现阳性体征。左额发际内-2.5cm×2.5cm×0.8cm包块,质硬,不活动,压痛(+)。颅骨平片示左额部骨质局灶破坏,2cm×2cm,内有少量点状钙化,切线位见局部颅外板外凸,内板完整。颅脑CT:左额骨破坏,边界尚清,内有钙化。入院后局麻下行肿瘤全切:切开头皮分离骨膜后见外板隆起,约1.8×1.8cm,外板极薄,局部板障内充满肿瘤、质软,内板光整,与硬膜无粘连。病理报告、左额骨砂粒体型脑膜瘤。
Patient, female, 32 years old. A year ago found in the left front of a big hard-soy hair, painless mass, inactive, growing, recently a little tenderness. No neurological manifestations. Physical examination: God Qing language Lee, the nervous system found no positive signs. Left forehead hairline -2.5cm × 2.5cm × 0.8cm mass, hard, inactive, tenderness (+). Skull plain film shows the left forehead bone focal destruction, 2cm × 2cm, there are a small amount of punctate calcification, see the local trigeminal line tangent convex, inner plate intact. Brain CT: left frontal bone destruction, the border is clear, there is calcification. After admission, local anesthesia tumor resection: cut the scalp after separation of the periosteum see the outer plate uplift, about 1.8 × 1.8cm, the outer plate is extremely thin, local plate full of tumor, soft, inner plate finishing, and the dura without Adhesion. Pathology report, left frontal gland meningioma.