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病人,女,20岁,未婚。因左下腹包块120d,伴腹痛,呕吐30d,以卵巢肿瘤入院。查体:全身浅表淋巴结无肿大,心肺无异常,肝睥未触及。左下腹扪及60d妊娠大小实性肿物,形态不规则,质硬,固定。B超示左卵巢有一12cm×10cm×5cm大小肿物。骨髓穿刺示:感染性骨髓像。全消化道钡餐及肺片无异常发现。剖腹探查示:左侧卵巢有一15cm×12cm×10cm大小实性肿瘤,与肠系膜及腹膜粘连,右卵巢及子宫正常,肝脾无异常,盆腔和腹腔未见其它实性肿物。行肿瘤切除
Patient, female, 20 years old, unmarried. Due to left lower quadrant pelvis 120d, with abdominal pain, vomiting 30d, ovarian cancer hospitalization. Physical examination: systemic superficial lymph nodes without swelling, no abnormal heart and lung, liver pouch not touched. Left lower quadrant palpable real size of pregnancy 60d tumor, irregular shape, hard, fixed. B ultrasound showed a left ovary size of 12cm × 10cm × 5cm tumor. Bone marrow puncture shows: Infectious bone marrow. The whole digestive tract barium meal and lung were no abnormal findings. Caesarean exploration showed: the left ovary has a 15cm × 12cm × 10cm size of solid tumors, with mesenteric and peritoneal adhesions, right ovary and uterus normal, no abnormal liver and spleen, pelvic and abdominal cavity no other solid tumors. Tumor resection