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患者女性,59岁,一个月前行常规妇科检查发现右侧卵巢肿物.于1997年2月18日入院.患者无明显不适.绝经10余年,无不规则阴道出血,无阴道排液.曾因尿频、尿急、尿痛及血尿,在我院门诊按“尿路感染” 治疗两周,症状明显好转,血尿消失.实验室检查:尿常规,尿蛋白(+)、RBC 0～5个/高倍视野.WBC 18～22个.血常规正常.静脉肾盂造影及膀胱造影未见异常.B超所见:子宫厚2.7cm宽3.4cm长4.5cm,形态回声未见异常,右侧附件区可探及6.O×6.5cm低回声团块,边界清晰,轮廓规整,膀胱右侧壁受压呈弧形凹陷.超声诊断:右侧卵巢实性占位病变.手术及病理所见:于2月27日行剖腹探查
The patient was a 59-year-old woman who had undergone a routine gynecological examination a month ago and found a right ovarian mass. He was admitted to hospital on February 18, 1997. The patient had no apparent discomfort. There was no irregular vaginal bleeding and no vaginal discharge for more than 10 years. Frequent urination, urgency, dysuria, and hematuria were treated with “urinary tract infection” in our hospital for two weeks. Symptoms improved and hematuria disappeared. Laboratory tests: routine urine, urinary protein (+), RBC 0-5/ High power field of view. WBC 18 ~ 22. Normal blood. Intravenous pyelography and cystography without exception. B ultrasound: uterine thickness 2.7cm width 3.4cm length 4.5cm, no abnormal morphology echo, the right attachment area can be Explore 6.O×6.5cm hypoechoic masses with clear boundaries, regular contours, and a curved depression on the right side of the bladder. Ultrasound Diagnosis: Occlusal lesions on the right side of the ovary. Surgical and pathological findings: 2 On the 27th, laparotomy