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患者女性,29岁,未婚。发现下腹部肿块伴腹部隐痛11天,于1984年7月12日入院。检查:营养发育中等。心肺(-),腹软。肝肋下可及,质中,脾(-)。左下腹可及拳头大小之肿块,质硬,尚活动,无压痛。妇科检查:子宫及右侧附件正常,左前穹窿可及7×7×6cm大小之肿块,质硬。似与子宫相连,表面高低不平。“B”超提示;左下腹混合性肿块,囊性畸胎瘤可能。实验室检查;血沉67mm/小时,AFP阳性,乳酸脱氢酶582单位。临床诊断:左卵巢恶性肿瘤(恶性畸胎瘤可能)。
Patient female, 29 years old, unmarried. Found abdominal mass with abdominal pain for 11 days, on July 12, 1984 admission. Check: medium nutrition development. Cardiopulmonary (-), abdomen soft. Liver under the ribs, quality, spleen (-). Left fist and fist size of the mass, hard, still activities, no tenderness. Gynecological examination: normal uterus and right attachment, left anterior fornix and 7 × 7 × 6cm size of the mass, hard. Like the uterus connected, the surface rugged. “B” super tip; left lower quadrant mixed mass, cystic teratoma may. Laboratory tests; erythrocyte sedimentation rate 67mm / h, AFP positive, lactate dehydrogenase 582 units. Clinical diagnosis: Left ovarian cancer (malignant teratoma may).