卵巢勃勒纳瘤在卵巢肿瘤较少见,发病率约为卵巢肿瘤的0.5～2％,好发年龄50％在50岁以上,常为单侧(6.58％为双侧)。我院曾遇到一例,现报导如下: 患者女性,66岁,发现下腹包块一月余。稍觉疼痛,自感腹胀,腰酸不适,即往有高血压病史,6孕产6均顺产,33岁绝经后无阴道流血病史。6年前曾在某县医院行右侧卵巢“畸胎瘤”摘除术,未送病检。妇科检查:下腹左侧可扪及约20×20×10cm包块,质中,活动差。手术所见:左侧卵巢囊实性增大约18×16×18cm,不规则,色暗紫,与肉膜、横结肠广泛粘连,不易分离,试分离粘连面,出血面大难处理,故采用姑息疗法刺破肿瘤1cm,抽出肿瘤内浆液约1500ml,取肿瘤部分送病检。无腹水,未见肿大淋巴结。 病理检查:巨检:送检卵巢肿块大小不等共4块。大者约2.6×1.6×1.0cm,余为黄豆至蚕豆大。经18h固定后,质硬 Ovarian Brenner tumors are rare in ovarian tumors, the incidence of ovarian tumors is about 0.5 to 2%, 50% of the prevalence of 50 years of age, often unilateral (6.58% for bilateral). Our hospital has encountered a case, is now reported as follows: Female patients, 66 years old, found the lower abdomen mass more than a month. Feeling pain, self-sensed abdominal distension, backache discomfort, that is, to a history of hypertension, 6 6 were pregnant and 6 obstetrical, 33-year-old postmenopausal vaginal bleeding history. 6 years ago in a county hospital on the right ovary “teratoma” removal, not sentinel examination. Gynecological examination: the lower abdomen left palpable about 20 × 20 × 10cm mass, quality, poor activity. Surgical findings: the solidity of the left ovarian cyst increased about 18 × 16 × 18cm, irregular, dark purple, and the fleshy, transverse adhesions extensive, difficult to separate, try to separate the adhesion surface, the bleeding surface dilemma, so the use of palliative Treatment of punctured tumor 1cm, remove the tumor about 1500ml of serous, take the tumor part of the disease examination. No ascites, no enlarged lymph nodes. Pathological examination: Giant: ovarian mass examination ranging from a total of 4. The largest about 2.6 × 1.6 × 1.0cm, more than beans to broad beans. After 18h fixed, hard