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患者女,24岁。近2个月月经周期缩短,下腹部隐痛1月余,妇科检查:外阴发育正常,宫颈光滑,后穹窿无触痛。子宫前位,质软,无压痛,活动好。左侧附件区明显增厚,扪及鸡蛋大小囊实性包块,圆形、光滑、质韧,有压痛、边界清,活动度好,右侧附件区未扪及异常。胸部CT检查:双肺少量纤维化、钙化灶,纵隔及右肺门淋巴结增多、增大并部分钙化。肝门区多发钙化灶。实验室检查:红细胞沉降率(40.0
Female patient, 24 years old. Nearly 2 months shorten the menstrual cycle, lower abdominal pain more than 1 month, gynecological examination: normal vulva development, cervical smooth, posterior fornix no tenderness. Front uterus, soft, no tenderness, good activity. The attachment area on the left is significantly thickened, palpable and cystic solid encased eggs, round, smooth, tough, tender, clear border, good activity, the right attachment area is not palpable abnormalities. Chest CT examination: a small amount of lung fibrosis, calcification, mediastinal and right hilar lymph nodes increased, increased and partial calcification. Hilar multiple calcification. Laboratory tests: erythrocyte sedimentation rate (40.0