患者女,37岁。2004年9月20日入院。患者发现下腹部无痛性包块20d,增长快,腹胀,包块位于下腹中央,大小便无异常,无阴道分泌物。食欲不振1个月,同时伴有消瘦1个月,体重减轻约10kg,阴道无流血,既往健康、否认心脏肝肾等重要脏器病史。查体心肺听诊无异常,肝脾未触及、四肢、脊柱正 Female patient, 37 years old. September 20, 2004 admission. Patients found that the lower abdomen painless mass 20d, rapid growth, abdominal distension, mass in the lower abdomen central, no abnormal urine, no vaginal discharge. Loss of appetite for 1 month, accompanied by weight loss for 1 month, weight loss of about 10kg, vaginal bleeding, past health, denied the heart and liver and other vital organs history. Physical examination auscultation without abnormal heart and lung, liver and spleen not touched, limbs, spine positive