患者33岁,孕1产1,因“下腹隐痛2月,发现盆腔包块6d”于2011年6月22日入住大冶中医院。患者入院前2个月出现下腹隐痛,呈间断性,可以耐受。无月经紊乱,无腹胀,无尿频,无尿急及其他症状,一直未治疗。6d前妇科检查B超发现盆腔有一实性包块,且伴腹水。查肿瘤标志物CA125:1824.4μ/ml,CEA、AFP、CA199相关肿瘤标志物未见异常。妇检:外阴已婚已产式,阴道通畅,宫颈光滑,无举痛,子宫大小正常,质中,活动好,子宫前方偏右有一女拳大小包块,质硬,活动好,压痛(+),右侧附件未及异常。2011年6月25日行手术治疗,手术名称:肿瘤细胞减灭术。麻醉方法全麻。术中见子宫大小正常,右卵巢有一女拳大小包块,呈多囊性,形态不规则,右侧输卵管有一3cm×4cm大结节,左附件未及异常,子宫骶韧带及后腹膜有6个花生米大的病灶,腹腔内腹水呈黄色,量约200ml。切除右侧附件快速送 33-year-old patient, pregnancy 1 production 1, because of “abdominal pain in February and found pelvic mass 6d ” on June 22, 2011 Daye Hospital of Traditional Chinese Medicine. 2 months before admission, patients had abdominal pain, was intermittent, can be tolerated. No menstrual disorders, no bloating, no urinary frequency, no urgency and other symptoms, has not been treated. 6d before gynecological examination found a pelvic pelvis with a solid mass, and with ascites. Check the tumor marker CA125: 1824.4μ / ml, CEA, AFP, CA199 related tumor markers no abnormalities. Maternal seizure: genital married has been produced, vaginal patency, smooth cervix, no pain, uterine size is normal, quality, activity is good, the right front of the uterus has a female boxer size mass, hard, good activity, tenderness ), The right attachment without exception. June 25, 2011 Surgical treatment, surgical name: cytoreductive surgery. Anesthesia anesthesia. Surgery, see the normal size of the uterus, the right ovary has a female boxer size mass, was polycystic, irregular shape, the right tubal has a 3cm × 4cm large nodules, left antecedent and anomalies, uterosacral ligament and retroperitoneal 6 A large peanut lesions, abdominal ascites was yellow, the amount of about 200ml. Remove the right attachment quickly send