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胃癌常转移至卵巢,同时累及子宫者罕见。而卵巢转移癌合并卵巢畸胎瘤者,国内外文献尚未查到,现将我们遇到的1例,报告如下。 患者,35岁,住院号:306683,阴道不规则流血10天,体查发现下腹肿块而于1987年2月23日入院。7年前病人曾行胃癌(粘液腺癌)根治术。一般检查无异常。妇科检查:外阴、阴道(一),宫颈略肥大,宫体后位、稍大,左右附件处分别触及—17×15×14cm、8×7×6cm的结节。疑转移癌而手术。术中见腹腔内有淡黄色液体700ml,双卵巢见肾形肿块,结节、无粘连。切除全子宫及双侧附件。 病理检查:宫颈糜烂,子宫剖面未见异常,左右卵巢为20×13×6cm及11×6×5cm肾形的结节,表
Gastric cancer often transferred to the ovary, involving the uterus are rare. The ovarian metastasis with ovarian teratoma, domestic and foreign literature has not been found, now we encounter a case, the report is as follows. Patients, 35 years old, hospitalization number: 306683, vaginal irregular bloodshed 10 days, physical examination found lower abdomen mass in February 23, 1987 admission. Seven years ago the patient had gastric cancer (mucinous adenocarcinoma) radical mastectomy. General inspection no abnormalities. Gynecological examination: the vulva, vagina (a), cervical slightly hypertrophy, palace posterior position, slightly larger, around the annex were touched -17 × 15 × 14cm, 8 × 7 × 6cm nodules. Suspected metastatic cancer and surgery. Intraoperative see a pale yellow liquid 700ml, double ovary see kidney-shaped mass, nodules, no adhesions. Excision of the entire uterus and bilateral attachments. Pathological examination: Cervical erosion, no abnormal uterine section, about ovarian 20 × 13 × 6cm and 11 × 6 × 5cm kidney-shaped nodules, the table