原发性卵巢平滑肌瘤是罕见的,描述1例肿瘤并腹水与胸膜腔积液。患者33岁。膈上淋巴肉瘤4年,并腹痛、胸部不适、呼吸浅促。检查见骨盆大肿块和右胸膜渗漏征。超声图和X线断层显示腹水和骨盆肿块,胸部照片证实胸膜渗出是肿瘤的原发器官。从右胸抽出草莓色液,细胞学见单核和双核隆凸细胞,示何杰金氏病, Primary ovarian leiomyomas are rare and describe 1 tumor with ascites and pleural effusion. The patient is 33 years old. He was diagnosed with lymphosarcoma for 4 years and had abdominal pain, chest discomfort, and shallow breathing. Check for large pelvic masses and right pleural effusion signs. Ultrasound images and X-ray findings revealed ascites and pelvic masses, and chest photographs confirmed that pleural effusion was the primary organ of the tumor. The strawberry fluid was drawn from the right chest. The cytology showed mononuclear and binuclear bulge cells showing Hodgkin’s disease.