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患者51岁,腹部包块日渐增大4月余。于1988年9月12日入院。患者4月前无意扪及下腹有一儿头大包块,质硬无疼痛,此后包块日渐增大,胃纳减,明显消瘦,觉胸闷,气促,双下肢间中出现浮肿,月经周期正常,白带增多。体检:体重58kg,一般状态尚可;心肺正常,腹部膨隆,全腹无压痛及反跳痛。妇检:外阴,阴道正常,宫颈光滑,肥大,宫体后位,增大如妊娠40天,活动、无触痛,宫体上方可触及一巨大肿块,上至剑突下3横
51-year-old patient, abdomen mass increasing more than 4 months. Admitted to hospital on September 12, 1988. 4 months ago, the patient had no intention of palpable lower abdomen had a big head mass, hard and no pain, since then mass is increasing, appetite reduction, significant weight loss, feel chest tightness, shortness of breath, edema between the lower extremities, the normal menstrual cycle Leucorrhea increased. Physical examination: weight 58kg, the general state is acceptable; normal heart and lungs, bulging abdomen, the whole abdomen without tenderness and rebound tenderness. Maternal seizures: vulva, normal vagina, cervix smooth, hypertrophy, palace posterior position, increased such as pregnancy 40 days, activity, no tenderness, the top of the Palace can reach a huge mass, up to the xiphoid 3 horizontal