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1临床资料患者38岁,因体检发现盆腔肿物和右侧腋窝肿物伴压痛2个月入院。患者2个月前无意中发现右侧腋窝有一鸡蛋黄大小肿物,伴明显压痛,有时伴右臂内侧疼痛。偶有轻度腹痛及肛门下坠感。经全面体检发现盆腔肿物。既往史:6年前因双侧卵巢成熟囊性畸胎瘤,行双侧卵巢肿瘤剥除术。查体:子宫大小正常,于左附件区可触及一约5cm×3cm×4cm肿物,囊性,活动度欠佳,轻压痛,于子宫右后方可触及大小约7cm×8cm肿物,固定不动,与直肠关系密切。右腋窝可触及一肿物,直径约4cm,与周围组织边界
1 clinical data 38-year-old patient, found on examination and pelvic mass on the right side of the axillary mass with tenderness 2 months admission. Patient 2 months ago inadvertently found an egg yolk on the right axillary mass, with significant tenderness, sometimes accompanied by pain in the right arm. Occasionally mild abdominal pain and anal fall. After a comprehensive physical examination found pelvic mass. Past history: 6 years ago due to bilateral ovarian mature cystic teratoma, bilateral ovarian tumor stripping surgery. Physical examination: normal uterine size, accessible to the left attachment area of about 5cm × 3cm × 4cm tumor, cystic, poor mobility, mild tenderness in the right rear of the uterus reach the size of about 7cm × 8cm tumor, fixed Dynamic, closely related to the rectum. The right axilla can reach a tumor, about 4cm in diameter, and the surrounding tissue boundaries