卵巢内胚窦瘤并非罕见,但合并妊娠者Duncan只在1980年报道过2例。现将我院的1例报告如下: 患者女性,23岁。妊娠3个月,腹部痉挛性痛伴腹部包块及腹水5个月。腹部膨隆,包块界线清,质硬,触之剧痛,外阴未产式,阴道通畅,宫颈光滑。临床初步诊断:胚胎癌。于1985年6月28日剖腹探查,见左侧卵巢肿物约20×20×10cm,与膀胱及周围粘连,行全宫及双侧附件切除。 Ovarian endodermal sinus tumors are not uncommon, but Duncan, a combined pregnancy, reported only two in 1980. Now a report of our hospital as follows: Female patients, 23 years old. 3 months of pregnancy, abdominal cramps pain with abdominal mass and ascites 5 months. Abdominal bulging, mass boundaries clear, hard, touching the pain, genital vulvar, vaginal patency, cervical smooth. Preliminary clinical diagnosis: embryonal carcinoma. On June 28, 1985 laparotomy, see the left ovarian tumor about 20 × 20 × 10cm, and the bladder and the surrounding adhesions, the whole line and bilateral attachment resection.