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患者女,41岁。以“无诱因发热14d,检查发现盆腔肿物1d”入院,体温最高39℃,畏冷,寒战,发热时尿道疼痛,偶有排尿不尽感。查体:中下腹可触及质硬包块。实验室检查:血WBC:5.28×109/L,CA125:92.65 U/ml,ALT:485 U/L,AST:376U/L,ALP:365U/L,GGT:233U/L。超声检查:中下腹部可见实性低回声团块,范围约19.0cm×10.4cm×17.2cm,周边隐见包膜,内部血流较丰富;下缘可见片状不规则极低回声区,范
Female patient, 41 years old. To “fever induced 14d, found pelvic mass 1d ” admission, body temperature up to 39 ℃, chills, chills, fever, urethral pain, occasional urination endless feeling. Physical examination: the lower abdomen can touch the hard mass. Laboratory tests: blood WBC: 5.28 × 109 / L, CA125: 92.65 U / ml, ALT: 485 U / L, AST: 376U / L, ALP: 365U / L, GGT: 233U / L. Ultrasound examination: the middle and lower abdomen visible solid hypoechoic mass, the range of about 19.0cm × 10.4cm × 17.2cm, hidden around the envelope, the internal blood flow is more abundant; the lower edge of the patchy visible very low echo area, Fan