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患者男性,17岁。1989年11月22日因肛门会阴部疼痛、尿便障碍3个月入院。患者3个月前首先出现肛门会阴部剧痛,曾误认为“痔疮”而行治疗。半个月后出现左臀部麻木,左大腿后疼痛及排尿排便费力。疼痛在休息时和夜间为著,活动时减轻或消失。发病半月后曾应用激素治疗17天,症状明显减轻至消失,维持1个多月。发病2个半月后症状又复发,并出现左小腿胀痛感。左腰骶部出现一鸡蛋大小的肿物,渐大,疼痛。自患病后逐渐消瘦。既往健康。查体:神清语明,表情痛苦。体质消瘦。全身表浅淋巴结未见肿大。心肺正常。在左腰骶部可见局部隆起,可触及一鸡蛋大
Patient male, 17 years old. November 22, 1989 due to anal perineal pain, urinary stool 3 months admitted to hospital. Patients 3 months ago first appeared anal perineal pain, mistaken for “hemorrhoids” and treatment. Half a month after the left hip numbness, left thigh pain and urination defecation effort. The pain is at rest and during the night, relieving or disappearing during activity. Half a month after the onset of hormone therapy has been applied for 17 days, the symptoms were reduced to disappear, to maintain more than 1 month. 2 and a half months after the onset of symptoms and recurrence, and left leg pain. Left lumbosacral an egg size of the tumor, increasing, pain. Since the illness gradually wasting. Past health. Physical examination: clear language, facial expression pain. Weight loss. No superficial lymph node enlargement. Cardiopulmonary normal. In the left lumbosacral visible local uplift, can reach an egg large