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1 病例介绍患者女性,80岁。发现下腹部包块五十余年,无明显症状。近二年自觉肿物生长迅速,并出现食欲下降,进行性消瘦。近一个月下腹部出现疼痛。体检:心肺无异常。妇科检查及B超提示:双侧卵巢肿物,性质待查。手术所见:双侧卵巢各见一肿物,外观均为囊性,左侧成人头大,质稍硬,活动尚可,将肿物完整取出。右侧肿物手拳大小,表面凸凹不平,与大网膜严重粘连。右侧肿物带部分大网膜取出。另在肝下、肠系膜、腹膜、大网膜处发现数个大小不等、散在性粟粒样结节,灰白色,已无法取出。病理检查:送检两个椭圆形肿物。大的体积18cm×16cm×15cm,表面光滑,无出血死坏死,仅部分囊壁表面略粗糙。小心剖
1 Case presentation Female patient, 80 years old. The lower abdomen mass was found for more than 50 years without obvious symptoms. In the last two years, the conscious masses have grown rapidly and have decreased appetite and progressive weight loss. Pain occurred in the lower abdomen in the past month. Physical examination: No abnormalities in heart and lungs. Gynecological examination and B-ultrasound: bilateral ovarian tumors, the nature of unknown. Surgical findings: The bilateral ovaries saw a tumor, the appearance of which was cystic. The adult head on the left side was large, the quality was slightly hard, and the activity was acceptable. The tumor was completely removed. The size of the fist mass on the right side of the tumor was uneven and the surface was uneven, with severe omentum adhesion. A part of the omentum was removed from the right mass. In the liver, mesentery, peritoneum, and omentum, several sizes and scattered miliary nodules were found. They were pale and could not be removed. Pathological examination: Two oval tumors were examined. The large volume of 18cm × 16cm × 15cm, the surface is smooth, no bleeding dead necrosis, only part of the wall surface is slightly rough. Carefully cut