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1 临床资料 患者,女性,61岁,因反复腹水腹部胀痛2年,盆腔包块5个月于1990年5月14日入院。体检:一般情况良好,血压20/13kPa,心肺(-),全身浅表淋巴结无肿大,甲状腺无肿大,肝脾未及,腹部移动性浊音可疑。妇科检查:子宫右前方可触及一囊实性肿块,约12cm×10cm×9cm大小,活动好,无压痛。B超示子宫右上方可见10.8cm×9.2cm×8.9cm大小囊实性包块。未提示有腹水。入院后胸片示左胸腔积液。CEA<20μg/L,血沉10mm/1h,AFP(-)。入院后行全子宫、双附件及大部分大网膜切除术。术中见腹腔有腹水1000ml,淡黄色透明。肝、脾、胃及大网膜未见异常,盆腔无肿瘤组织
1 Clinical data Patients, female, 61 years old, abdominal pain due to repeated abdominal pain for 2 years, pelvic mass 5 months in May 14, 1990 admission. Physical examination: generally good, blood pressure 20 / 13kPa, cardiopulmonary (-), systemic superficial lymph nodes without swelling, enlargement of the thyroid gland, liver and spleen is not, abdominal dullness suspicious. Gynecological examination: the right front of the uterus can reach a cystic mass, about 12cm × 10cm × 9cm size, good activity, no tenderness. B ultrasound showed uterine right above the visible 10.8cm × 9.2cm × 8.9cm size cystic mass. Not ascites. Chest radiograph showed left pleural effusion after admission. CEA <20μg / L, ESR 10mm / 1h, AFP (-). After admission, the uterus, double attachments and most major omental resections were performed. Intraoperative see ascites 1000ml, pale yellow transparent. Liver, spleen, stomach and omentum no abnormalities, pelvic tumor tissue