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患者、女性、76岁,已婚。因下腹肿块一年余,阴道不规则流血一月余,近5天来阴道流鲜血未间断,于1984年9月21日入院。体检:左下腹扪及儿头大肿块,有囊性惑,部分实性,活动欠佳,无压痛,肠鸣音亢进。腹部平片:见下腹有一密度增高影,其边缘模糊不清。超声波检查:腹部探及20×16×11cm 囊性肿块。手术所见:左侧卵巢肿瘤约19×16×17cm 大小,表面结节状,部分囊性,切面见咖啡样液体流出,部分实质暗红。右侧附件未见异常。病理检查:巨检:包膜完整约19×16×17cm,切
Patient, female, 76 years old, married. More than one year due to the lower abdomen mass, vaginal irregular bloodshed more than a month, nearly 5 days of vaginal blood flow is not interrupted, on September 21, 1984 admitted. Physical examination: the left lower abdomen palpable big head child, cystic confusion, some real, poor activity, no tenderness, hyperactive bowel sounds. Abdominal plain film: see the lower abdomen there is a density of shadow, the edge of the blurred. Ultrasound examination: abdominal exploration and 20 × 16 × 11cm cystic mass. Surgical findings: The left ovarian tumor size of about 19 × 16 × 17cm, surface nodular, partially cystic, see the coffee-like liquid outflow section, part of the real dark red. No abnormalities on the right attachment. Pathological examination: Grand test: complete capsule about 19 × 16 × 17cm, cut