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患者,女,26岁。五年前先后发现左面颊部,左腕臂、左大腿内侧,后枕部各长一肿物(左侧大腿内脚物已在当地医院切除)。近二年感到左面颊部肿物逐渐增大。同时伴面部麻木感。检查:各系统检查未发现异常。左侧腕臂处有一约3×3.5×3cm大小的肿物,质硬,上下不能活动,强行活动时伴有手指麻木感。左右活动度较大,且无手指麻木感。后枕部有一约2×1.5×1.5cm大小的肿物,性质同上,呈圆形,活动度小。左侧腮腺长一肿物,质硬,活动轻微,约有3×4×3.5cm大小,呈卵圆形,压之有轻微的放射性疼痛,张口度正常。处理:术中除左腕臂处及后枕部肿物可见神经干在肿物包膜外面,左腮腺肿物可见有面神经穿其于肿物内,术中保留面神经,将瘤体及腮腺完整摘除后送病理检查。病理报告多发性神经鞘瘤。术后一周拆线,伤口Ⅰ期愈合。
Patient, female, 26 years old. Five years ago found the left cheek, left arm, left thigh medial and posterior occipital of a long tumor (left thigh within the foot has been removed in the local hospital). Nearly two years felt the left cheek enlargement. At the same time with facial numbness. Check: The system check found no abnormalities. The left wrist arm at a size of about 3 × 3.5 × 3cm mass, hard, up and down can not be active, forced movement accompanied by finger numbness. About a large degree of activity, and no finger numbness. Occipital occipital has a size of about 2 × 1.5 × 1.5cm tumor, the same as the above, was round, activity is small. Long parotid tumor mass on the left, hard, mild activity, about 3 × 4 × 3.5cm size, oval, there is a slight pressure radiation pain, mouth opening normal. Treatment: Surgery in addition to the left arm and occipital and occipital tumor can be seen in the tumor capsule outside the capsule, the left parotidectomy can be seen through the facial nerve in the tumor, the facial nerve preservation, the complete removal of the tumor and parotid gland Evacuation pathological examination. Pathological report of multiple schwannoma. One week after suture removal, wound healing.