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患者女,32岁,结婚三年不孕来诊,1986年曾患结腹,近2年自感右下腹隐痛、不放射。无转移,无人流史,月经正常。妇科检查,子宫水平位、质中、活动、右侧附件可触及囊性包块5×5cm,活动,光滑。曾反复多次行B超检查。第一次所见:右附件区见一8.5×4.3cm的液性暗区,形态尚规则,有光滑菲薄之囊壁,间有分隔,于该暗区的右侧壁上见一乳头状中等强度光团约1.0×0.7cm,无移动性。子宫及左附件未见异常,盆腔并未见游离暗区,如图1示。提示,右附件囊实混合性包块(卵巢襄腺瘤可能性大)。第二次B超:经多方仔细检查,发现原“乳头状中等强回声”
Female patient, 32 years old, married three years of infertility, 1986 suffered from the abdomen, nearly 2 years since the right lower abdomen pain, no radiation. No transfer, no history of flow, normal menstruation. Gynecological examination, uterine position, quality, activity, the right attachment can reach the cystic mass 5 × 5cm, activity, smooth. Has repeatedly B line ultrasound. The first time I saw: the right attachment area to see a liquid dark area of 8.5 × 4.3cm, the shape is still rules, there are smooth meager wall, separated, in the dark area on the right side of the wall to see a papillary moderate Intensity light mass about 1.0 × 0.7cm, no mobility. No abnormalities in the uterus and left attachment, pelvic cavity and no free dark area, shown in Figure 1. Tip, the right attachment cystic mixed mass (ovarian adenoma possibility). The second B-ultrasound: After careful examination of multiple parties and found that the original “papillary moderate strong echo”