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患者,女性,61岁,右腹痛半月,门诊CT示:右腹部升结肠旁见一不规则巨大低密度肿块影,周围可见絮状渗出,肿块前壁紧贴腹壁,后壁毗邻升结肠,诊断为右腹部囊实性肿块、腹腔积液。门诊诊断为“胃肠间质瘤”入院。入院后行腹腔肿瘤切除术。术中见腹腔中等量淡黄色腹水,约800ml,右侧升结肠沟内直径约9cm的肿块,质地脆,呈鱼肉样改变,与腹壁、升结肠及大网膜粘连。患者半年前曾因诊刮术,诊断“子宫内膜不典型增生”行子宫切除术,术
Patients, women, 61 years old, right abdominal pain half a month, outpatient CT showed: the right abdomen ascending colorectal see an irregular large low-density mass shadow around the visible floc oozing, the anterior wall of the tumor close to the abdominal wall, posterior wall adjacent to the ascending colon, Diagnosis of right abdominal solid cystic mass, ascites. Outpatient diagnosis for “gastrointestinal stromal tumor” admission. Peritoneal tumor resection after admission. See intraperitoneal moderate amount of light yellow ascites, about 800ml, the right ascending colon ditch diameter of about 9cm mass, texture crisp, fish-like changes, and the abdominal wall, ascending colon and omentum adhesions. Six months ago, patients had curettage, diagnosis of “endometrial dysplasia” line hysterectomy, surgery