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发生于卵巢恶性肿瘤中的绒毛膜上皮癌本属罕见,妊娠性绒癌则更为罕见。1978年Benja-min 收集文献上及自己的1例,共得7例。国内尚未见有报道者。我院自1970年来收治过两例,报道如下:例1 杨××,住院号3158,35岁,农民。妊_8产_5,1970年3月23日因“腹痛、腹部有包块及月经不调三月余”入院。患者三个月前开始腹痛,于左下腹发现一鸡蛋大包块,渐增大,月经极不规则,约5-6/8-9天,血量不多。近一个月内。包块增长较快,腹痛加剧,剧烈时伴有呕吐。食欲下降,日益消瘦,盗汗。入院时体温38℃。妇科检查:子宫稍大,前化,偏右,左后方附件区触及一约14×12×10cm 包块,活动受限,质地不匀,压痛明显。血沉88毫米/第一小时。红血球250万,血色素44%。胸透:两肺结核。
Occurred in ovarian cancer in the choriocarcinoma of the rare, gestational choriocarcinoma is even more rare. In 1978 Benja-min collected literatures and one of his own, for a total of seven cases. There are no domestic reporters. Our hospital since 1970 to treat two cases, reported as follows: Example 1 Yang XX, hospitalization number 3158, 35 years old, farmer. Pregnancy _8 production _5, March 23, 1970 due to “abdominal pain, abdominal mass and irregular menstruation more than three months” admission. The patient began to have abdominal pain three months ago and found an enlarged egg mass in the left lower quadrant. The menstrual period was extremely irregular with about 5-6 / 8-9 days of blood volume. Nearly a month. Mass rapid increase, abdominal pain intensified, accompanied by severe vomiting. Loss of appetite, weight loss, night sweats. Admission temperature 38 ℃. Gynecological examination: the uterus slightly larger, before the turn, right, left rear attachment area touches a about 14 × 12 × 10cm mass, limited mobility, uneven texture, tenderness significantly. ESR 88 mm / first hour. 2.5 million red blood cells, hemoglobin 44%. Chest throat: two tuberculosis.