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原发于生殖系统的种子细胞瘤极为罕见,我院于1990年4月发现1例,报道如下。患者,女,19岁,学生,未婚。腹部无痛性肿块4个月,于1990年4月5日来本院妇科就诊,初诊:腹部巨大肿瘤。入院待手术,既往健康,月经史15岁4～8/20～30量中,间有腹痛,末次月经3月28日。入院体查:神清,BP16.0/12.0kPa,心肺正常,腹壁紧,肝脾触诊不满意。下腹部触及儿头大肿物,上界在脐上一横指,质硬,活动度差。肛查:肿物占据整个盆腔,子宫在肿物的后方,子宫体大小正常。妇检:处女膜未穿破,会阴部无血迹。化验:血常规正常,Hb78g/L,肝功能TTT10u,ZnSO_416u,SGPT正常,HBsAg(+),E抗原(-),E抗体(+),BUN
Primary in the reproductive system seed cell tumor is extremely rare, our hospital in April 1990 found in 1 case, reported as follows. Patient, female, 19 years old, student, unmarried. Abdominal painless mass 4 months, on April 5, 1990 to our hospital gynecological treatment, the first diagnosis: a huge abdominal tumor. Admission to be treated, past health, history of menstruation 15 years old 4 ~ 8/20 ~ 30 amount, with abdominal pain, the last menstrual March 28. Admission investigation: God clear, BP16.0 / 12.0kPa, normal heart and lung, abdominal wall tight, palpation of liver and spleen are not satisfied. The lower abdomen touches the head big tumor, the upper bound on the umbilical a horizontal finger, hard, poor activity. Anal examination: the tumor occupies the entire pelvis, the uterus in the rear of the tumor, the uterus body size normal. Women’s examination: hymen is not worn, no blood in the perineum. Assay: Hb78g / L, liver function TTT10u, ZnSO_416u, normal SGPT, HBsAg (+), E antigen (-), E antibody