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患者女,49岁,下腹部多发性包块伴胀痛一个月入院。检查:体温37.3℃,脉搏84次,血压110/70mmHg。心肺正常。脐下3cm处腹壁皮下有5×4及3×2cm硬块。右下腹可触及6×4及5×3cm硬块,边界清,不活动,无压痛。于1981年4月2日剖腹探查;见下腹壁皮下有5×4及3×2cm实质性肿瘤,分叶状,包膜完整无粘连。腹腔内有大如婴儿头,小如黄豆样肿瘤,占据大部盆腔,呈多形性,有实质性和囊性之分,包膜完整,有蒂与腹膜相连。切除肿瘤50余枚。病理诊断:神经鞘瘤。术后二年,于1983年8月又因下腹包块剖腹摘除
The patient, 49 years old, had multiple masses in the lower abdomen with pain for one month. Check: Body temperature 37.3°C, pulse 84, blood pressure 110/70mmHg. Normal heart and lung. There were 5×4 and 3×2 cm hard blocks under the abdomen wall 3 cm below the umbilicus. The right lower abdomen can touch 6 × 4 and 5 × 3cm lump, border clear, inactive, no tenderness. The exploratory laparotomy was performed on April 2, 1981; see subcutaneous tissue of the lower abdominal wall with 5×4 and 3×2 cm solid tumors, lobulated, with intact capsules. There are as large as the baby’s head in the abdomen, as small as a soy-like tumor, occupy most of the pelvic cavity, showing pleomorphism, a substantial and cystic nature, complete capsule, pedicle connected with the peritoneum. More than 50 tumors were removed. Pathological diagnosis: Schwannoma. Two years after surgery, in August 1983, it was removed due to laparotomy.