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患者,女,47岁。因下腹部包块伴疼痛1月余入院。妇科检查:子宫正常大小,左侧触及一拳头大包块,可活动,轻压痛。B超提示:子宫左侧不均质性包块。手术见左侧卵巢拳大肿瘤,表面灰黄色,与腹膜、肠管广泛粘连。腹腔有多个大小不等的淡黄色结节。病理检查:卵圆形肿物大小10×7×5.5cm,包膜不完整,质硬,表面结节状。切面实性,均质鱼肉样,灰白、淡黄色混杂,伴有灶性出血坏死。镜下见:瘤细胞丰富,显示明显多形性,呈圆形、卵圆形、梭形及不
Patient, female, 47 years old. Due to lower abdominal mass with pain for more than one month admitted to the hospital. Gynecological examination: the normal size of the uterus, the left touch a large fist mass, can move, light tenderness. B-tip: The left side of the uterus is not homogeneous mass. The surgery saw a large tumor on the left side of the fistula, with a pale yellow surface and extensive adhesion to the peritoneum and intestine. There are multiple pale yellow nodules of varying sizes in the abdominal cavity. Pathological examination: The size of the oval mass was 10 x 7 x 5.5 cm. The capsule was incomplete, hard and nodular. Cut surface solid, homogeneous fish-like, pale, light yellow mixed, with focal hemorrhage and necrosis. See under the microscope: The tumor cells are abundant, showing obvious polymorphism, round, oval, spindle and not