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本文首次报告血吸虫病并发恶性神经鞘瘤的一例女性患者,18岁,菲律宾人。因腹部逐渐增大的疼痛性肿块而入院。五个月前病人发现在左下腹部有一个比其拳头小的圆形可移动的硬性肿块。肿块呈进行性地增大,偶伴疼痛,入院前数小时疼痛更剧。体检:腹部稍软而膨大,腹内有一个硬的囊性肿块,直径约20cm。在检查盆腔和直肠时触及。其他器官均正常。入院时,实验室检查,嗜酸粒细胞为8%。病人在妇产科曾被误诊为卵巢肿瘤,住院第4天剖腹探查,发现有一个28cm的肿瘤占据了整个腹腔。此肿瘤起
This paper reports for the first time a case of female patients with schistosomiasis complicated with malignant schwannoma, 18 years old, Filipinos. He was admitted to the hospital because of a gradually enlarged painful mass in her abdomen. Five months earlier, the patient found a circular, movable rigid mass that was smaller than his fist in the left lower abdomen. The mass was progressively increased, with occasional pain, and the pain worsened several hours before admission. Physical examination: The abdomen is slightly soft and inflated. There is a hard cystic mass in the abdomen, about 20 cm in diameter. Touched when checking pelvic and rectum. Other organs are normal. At the time of admission, the laboratory examined eosinophils at 8%. The patient had been misdiagnosed as an ovarian tumor in obstetrics and gynecology and was examined by laparotomy on the fourth day of hospitalization. A 28-cm tumor was found to occupy the entire abdominal cavity. This tumor is from