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1例53岁患者,体检时腹部有一大肿块,引起尿频和压迫性尿失禁症状。接着行剖腹探查,见盆腔内有一大肿瘤,与子宫膀胱粘连,后二者均被牵拉,肿瘤后测与大肠粘连。腹腔其他处无转移可见,肝正常。手术时将膀胱输尿管分出,切除子宫、输卵管、双测卵巢和一小段阴道。此后见一小片组织与腹后壁粘连,切除粘连段肠子。病人于术后第9天出院。病理报告:右卵巢14×8.5×7cm,未分化多形性浆液性囊腺癌,多处有出血坏死,分裂象多见,但无淋巴管及小静脉。在腹壁上有第2生长块,系少许肿瘤细胞散落在大肠浆膜面的渗出物上。患者出院后用Co~(60)远距离照射,总剂量5365拉
A 53-year-old patient had a large lump in the abdomen on examination, causing frequent urination and stress urinary incontinence. Followed by laparotomy, see a large tumor in the pelvis, and uterine cyst adhesion, the latter two were pulled, the tumor after the test and colorectal adhesions. No other place in the abdominal cavity can be seen, the liver is normal. Surgery will be divided into vesicoureteral, removal of the uterus, fallopian tubes, double test ovary and a short period of vagina. Since then see a small piece of tissue and abdominal wall adhesions, removal of adhesions intestines. The patient was discharged on the 9th day after surgery. Pathological report: Right ovary 14 × 8.5 × 7cm, undifferentiated pleomorphic serous cystadenocarcinoma, multiple hemorrhagic necrosis, mitotic common, but no lymphatic vessels and small veins. The second growth block in the abdominal wall, the Department of a small number of tumor cells scattered in the serosa of the surface of the exudate. Patients discharged after Co ~ (60) long-range radiation, the total dose of 5365 pull