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 Wysłany: Śro 1:28, 23 Mar 2011 Temat postu: scarpe nike 2011 1 case of multiple neurofibromato |
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Multiple neurofibromatosis 1 case report
Admitted to our department, a patient with multiple neurofibromatosis, in addition to the limbs, trunk, many students have cancer, the nose shows a large tumor, seriously affect the appearance, are presented below. The clinical data of patients 1 female, 17 years old, with systemic multiple tumor, the gradual enlargement of the left nasal clinic with chief complaint in 13 years. Patients 13 years ago can be found in the left nasal tip soft,[link widoczny dla zalogowanych], vaguely palpable mass of sorghum grain size, reaction time without any discomfort, do the treatment, after the tumor was growing up, and found the left upper and right lower limb and trunk swelling behind the existence of different sizes material, the body can be seen scattered in the brown skin patches, nasal tumor increases with the seriously affect the appearance, to our hospital for medical treatment. Previously healthy. Their family suffering from Left nose was swollen,[link widoczny dla zalogowanych], sagging like, spread to the nose triangle,[link widoczny dla zalogowanych], slightly pale skin, skin temperature cools, a soft touch of the tumor, the size of about 2.OcmX3.OcmX. _6cm, not palpable and obvious boundaries, no tenderness, no local swelling, no blood vessel engorgement, does not affect breathing, no abnormal nasal secretions. Right nose was normal. left forearm radial nerve Running two projectors can be touched at the bean size tumor, the skin surface with scattered brown patches After the paravertebral back, right leg touches the outside of the above are similar stretch material, quality and tough, push a little pain can be activities, border clearance. head x-ray report: nasal soft tissue masses,[link widoczny dla zalogowanych], no abnormal nasal . admission by a comprehensive physical examination, electrocardiogram. ear blood, liver and kidney function tests and so no exception. 5EI after admission with local anesthesia, incision, tumor located in the subcutaneous tissue layer, the larger the scope, extending to the surrounding normal tissue, the appearance of fresh fish samples, representing a crisp, easy bleeding, try to remove it. removal of excess skin, and meticulous suture, similar to the basic and contralateral does not affect the appearance. after removal of the pathological material rewards: neurofibromatosis. neurofibromatosis 2 discussion of the rare, because many patients without any clinical symptoms, patients do not cause attention, some cases may be misdiagnosed as other surface tumors, so it is difficult to see the typical clinical cases. of any patients that found that more than one surface mass private prosecution,[link widoczny dla zalogowanych], shall be a comprehensive physical examination of patients, whether there are undetected tumor and other parts of brown patch, and asked Family genetic history in order to avoid misdiagnosis. The typical patient down, and a tumor in the nose of Health, in fact, rare, so do the introduction. 1999-05-0Z41
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