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患者23岁,已婚,社员。于1991年10月出现腹胀,隐痛,逐渐消瘦。近1月腹部明显肿大,下肢浮肿,于1992年2月2日以腹水待查入院。月经初潮13岁,孕2产2。查体:面色苍白,贫血貌。腹部高度膨隆,右下腹部可触及巨大肿块,表面可触及多个结节,活动度差,压痛明显,腹水征(+),双下肢浮肿。B超示右下腹部有一不规则巨大实质性肿块,其间可见放射状无回声暗区,双侧附件显示不清。腹水细胞学检查,找到肿瘤细胞。剖腹探查见腹腔内有血性腹水约5000ml,吸尽腹水发现肿瘤位于右侧卵巢,肿瘤巨大呈哑铃
Patient 23 years old, married, member. In 1991 October bloating, pain, weight loss. In January nearly obvious swollen abdomen, lower extremity edema, on February 2, 1992 with ascites pending admission. Menarche 13 years old, 2 pregnant 2. Physical examination: pale, anemic appearance. The abdomen is bulky, the lower right abdomen can touch a huge mass, the surface can reach multiple nodules, poor activity, tenderness, ascites (+), lower extremity edema. B ultrasound shows the right lower abdomen has an irregular huge massive mass, during which a radial echo-free dark area visible bilateral attachment is not clear. Ascites cytology, to find tumor cells. Caesarean section to see intra-abdominal bloody ascites about 5000ml, Absorption of ascites found tumor located in the right ovary, a huge dumbbell tumor