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患者女性,60岁。发现盆腔包块月余。CT示中下腹巨大占位伴腹腔积液。实验室检查:CA125 98.3 U/ml,CA19-994.94 U/ml。术中见左卵巢巨大占位,外科行全子宫+双附件切除术,送冷冻及常规病理检查。病理检查巨检:左附件切除组织,输卵管5 cm×0.5 cm大小,卵巢16 cm×15 cm×7 cm大小,表面光滑,结节状;切面囊实性,灰白、灰黄色,质嫩,局部充满黄色黏稠液,可见较多油脂及毛发(图1)。镜检:成熟性畸胎瘤成分和恶
Patient female, 60 years old. Pelvic mass found more than a month. CT showed a huge abdominal mass with ascites. Laboratory tests: CA125 98.3 U / ml, CA19-994.94 U / ml. Surgical see the huge ovarian occupancy, surgical hysterectomy + double attachment resection, send frozen and routine pathological examination. Pathological examination of the macroscopic examination: left attachment excision, oviduct size of 5 cm × 0.5 cm, ovary 16 cm × 15 cm × 7 cm size, smooth surface, nodular; section cystic, gray, gray, tender, local Full of yellow viscous liquid, showing more fat and hair (Figure 1). Microscopic examination: mature teratoma composition and evil