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患者女,40岁,已婚,因下腹部肿物3年于1985年4月25日入院。3年前发现腹部肿块如鸭蛋大,能活动。曾有3次突然剧烈腹痛,均能自行缓解。近3月有尿频,乏力,下坠感。妇科检查,子宫前倾位,正常大;右侧可触及似实性肿块约12×10×9cm,能上下活动,无压痛,与子宫分界清楚。临床诊断为右侧卵巢囊肿。于1985年5月10日行开腹术,见一实性质软、光滑、包膜完整之肿块,11×10×9cm大,肿瘤基底带蒂与大网膜相连,切断瘤蒂,肿瘤大部分游离,仅与子宫角处有0.3cm的纤维素样粘连,分离后,摘出肿瘤。子宫、卵巢、输卵管均正常。探查腹膜及肝均未见转移灶,术后顺利。镜下,瘤组织由圆形和多角形瘤
The patient, 40 years old, married, was admitted to hospital on April 25, 1985, because of a lower abdominal mass 3 years. 3 years ago found abdominal mass such as duck eggs, can move. There were 3 sudden severe abdominal pain, can relieve itself. Nearly three months have frequent urination, fatigue, falling flu. Gynecological examination, anteroposterior uterus, normal large; right to touch the like mass about 12 × 10 × 9cm, can move up and down, no tenderness, clear boundaries with the uterus. Clinical diagnosis of ovarian cysts on the right. May 10, 1985 underwent open abdominal surgery, see a real nature of soft, smooth, complete capsule of the tumor, 11 × 10 × 9cm large tumor base pedicled with the omentum connected to cut off the tumor pedicle, most of the tumor Free, only 0.3cm with the uterine horn at the cellulose-like adhesions, isolated, the tumor was removed. Uterus, ovaries, fallopian tubes are normal. Proximal peritoneal and liver exploration no metastases, postoperative smooth. Microscopically, tumor tissue consists of round and polygonal tumors