患者,女,41岁。因右乳癌术后3年,发现头皮肿物半年而入院。患者曾于3年前因右乳肿物半年查体发现右侧乳腺外上象限肿物4cm×3cm×2cm于我院外科行右乳癌根治术。病理报告:乳腺单纯癌,锁下及腋下淋巴结未见转移。术后规律化疗两年。患者一般情况好,头部皮肤可见两个皮下结节样肿物,分别为3.5cm×3cm×1cm及2cm×2cm×1cm大小,中等硬度,与皮肤粘连,无压痛。体表皮肤未见皮下结节,周身淋巴结未见肿大。胸部X线片及腹、盆腔B超检查未见异常。头颅CT检查未见颅内转移,颅骨无破坏。全身ECT检查未见骨转移征象。行头皮肿物扩大切除术,术中见肿物与皮肤粘连,向下侵及帽状腱膜,血运丰富。 Patient, female, 41 years old. Three years after right breast cancer surgery, a scalp mass was found for six months before admission. The patient had a right breast mass half year examination found in the right breast mass three years ago, the right breast quadrant tumor mass 4cm × 3cm × 2cm in our hospital surgery right breast cancer radical surgery. Pathology report: breast cancer, no metastases in the lock and axillary lymph nodes. After two years of regular chemotherapy. The patient was generally in good condition. There were two subcutaneous nodular masses on the head skin, which were 3.5cm × 3cm × 1cm and 2cm × 2cm × 1cm, medium hardness, adhesion to the skin, and no tenderness. There was no subcutaneous nodule on the skin surface and there was no enlargement of the lymph nodes around the body. Chest X-ray and abdominal, pelvic ultrasound examination was no exception. There was no intracranial metastasis on the skull CT examination and there was no damage to the skull. No signs of bone metastases were seen in the whole body ECT examination. Scalp scalp enlargement resection was performed. During the operation, tumors and skin adhesions were observed, and the capsular aponeurosis was invaded downwards. The blood supply was abundant.