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例1:患者女,54岁,住院号253032。主诉:腹胀、纳差一个月,发热、乏力半个月。已绝经6年,未曾生育。检查:腹部膨隆如6个月妊娠大小,腹水征(++)。内诊子宫体较小,其左前方可触及一儿头大之包块,较硬,包块边界不清,活动差,压痛明显。腹水检查见腺癌细胞。剖腹探查术中所见:腹腔有清亮腹水约3000ml。腹膜和肠系膜表面有多数玉米粒～蚕豆大小不等之灰白色结节。左下腹部见有儿头大、青紫色囊性包块与肠管和盆壁粘连,分开肠管后发现包块为:左侧输卵管囊肿,约12×12×10cm 大,壁薄,分离时破裂流出褐色液体。右侧输卵管变硬有结节感,卵巢稍大于正常,因粘连严重未查到子宫体。切除两侧附件及腹膜上结节送病理。病理检查:左侧卵巢约12×12×10cm 大小,其内有一球形肿物约2.5×2.5×2cm 大。肿物切面呈灰白色或灰红色,并可见一蚕豆大囊腔,囊腔内含少量清亮液体和灰白色细颗粒状乳头。右侧卵巢5×5×1.5cm,切面呈灰白
Example 1: Female patient, 54 years old, hospital number 253032. Complaints: bloating, anorexia one month, fever, fatigue half a month. Has been menopause for 6 years, never gave birth. Check: bulging abdomen, such as 6 months pregnant size, signs of ascites (++). The smaller the uterus body, the left front can reach a big head of the mass, harder, mass boundaries are not clear, poor activity, tenderness significantly. Ascites check see adenocarcinoma cells. Caesarean exploration surgery seen: a clear abdominal ascites about 3000ml. Peritoneal and mesentery surface of the majority of corn grains ranging from broad-gray beans nodules. Left lower abdomen see there are children big, cystic cystic mass and intestine and pelvic wall adhesions, after separation of intestinal mass was found: the left fallopian tube cysts, about 12 × 12 × 10cm large, thin wall, the separation of the outbreak of brown liquid. Harmonic right tubal nodules, ovarian slightly larger than normal, due to serious adhesions not found in the uterus. Removal of both sides of the attachment and peritoneal nodules sent pathology. Pathological examination: the left ovary about 12 × 12 × 10cm size, which has a spherical tumor about 2.5 × 2.5 × 2cm large. Massive section was gray or gray-red, and a large cysts can be seen broad beans, cysts containing a small amount of clear liquid and gray fine granular nipple. The right ovary 5 × 5 × 1.5cm, section was gray