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患者女,18岁.主因下腹部拳头大无痛性包块1~+年,增大迅速,腹胀,消瘦1月来诊.月经正常.查体:腹部膨隆,腹部可扪及一包块,充满腹腔,固定,质硬,表面不规则,移浊(++).妇检:子宫正常大小,左侧可探及一实性边界不清之包块,右侧可扪及一囊实性约10×4cm包块,活动.B超检查,子宫底部上方可探及一巨大实质性肿块,上达剑突,下达盆底,两侧达腋前线,周边可见完整的包膜,肿块形态不规则,内部回声不均质,以中等强回声为主,并可见斑片状及条状元回声区,腹盆腔内可见大量液性暗区.该肿块与肝胰双肾无关.子宫无异常,未见到正常的卵巢图像.超声诊断,腹盆腔巨大肿块合并腹水,卵巢恶性肿瘤可能性大.手术所见:腹块来源于左侧卵巢,大小约30×18cm,呈分叶状,90%为实性,10%囊性,并在子宫后方、膀胱底部、大网膜
Patient female, 18 years old Mainly due to the lower abdomen fist big painless mass 1 ~ + years, increasing rapidly, abdominal distension, weight loss January to diagnosis .Male menstruation .Check the body: abdominal bulge, abdominal palpable mass, Full of abdominal, fixed, hard, irregular surface, moving turbid (++). Fetal examination: the normal size of the uterus, the left can be detected and a solid boundary of the mass, palpable on the right and a capsule About 10 × 4cm mass, activity.B ultrasound examination, the top of the uterus can be explored and a huge substantive mass above the xiphoid, issued pelvic floor, on both sides of the anterior axillary line, the surrounding can be seen complete capsule, the shape of the tumor is not Rules, the internal echo is not homogeneous, mainly in the moderate strong echo, and visible patchy and strip yuan echo area, abdominal cavity can be seen a large number of liquid dark area. The tumor has nothing to do with the liver and pancreas kidney. Uterine no abnormalities, not See the normal ovarian image .Ultrasound diagnosis, pelvic huge tumor with ascites, ovarian cancer is likely .Surgical findings: The abdominal mass from the left ovary, size of about 30 × 18cm, lobulated, 90% of Solid, 10% cystic, and posterior to the uterus, bottom of the bladder, omental