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患者女,45岁。因外阴瘙痒3年,间断性下腹痛10余天就诊。体检:下腹部、双下肢毛发明显增多、增粗。右侧附件区扪及增厚,轻压痛。左侧附件区未扪及包块。绝经3年,平素月经规律,量少。实验室检查:甲胎蛋白(AFP)轻度升高(18.04IU/ml);雌二醇、睾酮未见异常。影像检查:CT平扫示右侧附件区一大小约46 mm×30mm×36 mm椭圆形肿块,边界清楚,密度不均匀,壁厚,见附
Female patient, 45 years old. Due to genital itching 3 years, intermittent lower abdominal pain more than 10 days treatment. Physical examination: lower abdomen, both lower extremity hair increased significantly, thickening. Attachment area palpable thickening, mild tenderness. Left attachment area palpable mass. Menopause 3 years, usually menstrual regularity, less. Laboratory tests: AFP increased slightly (18.04 IU / ml); estradiol and testosterone showed no abnormalities. Image examination: CT plain scan shows the right attachment area a size of about 46 mm × 30mm × 36 mm oval-shaped mass, clear boundary, uneven density, wall thickness, see attached