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患者女性,22岁。无明显诱因腰部阵发性胀痛伴血尿,夜尿增多。既往月经规则,量多,白带色黄,有异味。近次月经周期提前10天,月经量较前稍增多,经期无明显改变,激素各项检查数据正常。查体:下腹部有一包块,大小8 cm×8 cm×7 cm。B超示双肾小结石;彩超发现盆腔右附件区囊实性包块,大小8.3 cm×7.7 cm×8.7 cm。行右附件切除术+大网膜切除术+阑尾切除术+盆腔淋巴结清扫手术。术中冷冻活检诊断:考虑为卵巢交界性浆液性乳头状囊腺瘤;待石蜡切片确诊。
Patient female, 22 years old. No obvious incentive to have intermittent paroxysmal abdominal pain with hematuria, nocturia increased. Previous menstrual rules, quantity, leucorrhea yellow, smelly. Recent menstrual cycle 10 days earlier, a slight increase in menstrual flow compared with the previous, no significant changes in menstrual, hormones check the data normal. Physical examination: a mass of lower abdomen, size 8 cm × 8 cm × 7 cm. B ultrasound showed renal small stones; color right to find the right pelvic encasement of solid mass, the size of 8.3 cm × 7.7 cm × 8.7 cm. Line right attachment resection + omental resection + appendectomy + pelvic lymph node dissection. Intraoperative frozen biopsy diagnosis: consider ovarian borderline serous papillary cystadenoma; to be confirmed by paraffin sections.