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当前学科：运动系统慢性损伤
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女性，44岁。右拇指掌面基底部疼痛及弹响1年，加重2周。查体：该部位可扪及一小结节，有压痛，伸屈拇指时可感到弹响。最可能的诊断是（）。
A . 腱鞘囊肿
B . 皮样囊肿
C . 神经瘤
D . 狭窄性腱鞘炎
E . 滑膜瘤
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