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1诊断无性细胞瘤Ⅳ。2诊断依据及分析2.1患者,41岁。因子宫次全切除术后13年,发现盆腔包块半年于2010年11月3日入院。半年前有轻度不适,于当地医院检查发现盆腔囊肿,直径3cm,1周前腹胀加重,伴有便秘、尿频等,但无阴道流血、流液等。患病以来精神食欲无改变,体重无减轻。妇科检查:宫颈管内无出血。右侧附件区扪及直径10cm大小包块,形态不规则、实性、边界清楚、不活动、轻压
1 diagnosis of dysgerminoma Ⅳ. 2 diagnostic basis and analysis 2.1 patients, 41 years old. 13 years after subtotal hysterectomy and pelvic mass found half a year on November 3, 2010 admission. Six months ago mild discomfort, found in the local hospital pelvic cysts, diameter 3cm, 1 week ago abdominal distension increased, accompanied by constipation, frequent urination, but no vaginal bleeding, fluid and so on. No change in mental appetite since the illness, no weight loss. Gynecological examination: no bleeding within the cervical canal. The right attachment area palpable 10 cm in diameter mass, irregular shape, solid, clear boundary, inactive, soft