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一、卵巢淋巴肉瘤一例患者25岁,第一胎产后常感下腹阵发性扭痛、消瘦,继之出现盆腔肿块、腹水。入院后剖腹探查,见双卵巢显著肿大,与大网膜、肠系膜、腹膜及肝表面下叶边界有粘连,腹腔内见数个转移瘤结。手术行全子宫加双附件及部分转移病灶切除,用环磷酰胺化疗,术后一个月死亡。病理诊断为“双侧卵巢淋巴肉瘤并腹腔转移”。结合国内外文献资料认为:卵巢淋巴肉瘤恶性程度高,预后差。本病例推测分娩后因炎症出现淋巴细胞,继而转化为肿瘤,或源于卵巢血管外围之网状淋巴组织,故考虑为原发性卵巢淋巴肉瘤。因此,初步认为Cooper氏用恶性程度高低标准来判定之原发或继发是不够洽当的。
First, a case of ovarian lymphosarcoma 25 years old, the first child after birth often feel abdominal pain, weight loss, followed by pelvic mass, ascites. After admission, laparotomy, see double ovary significantly enlarged, and the omentum, mesentery, peritoneum and lower surface of the liver surface adhesions, see a few metastases within the abdominal knot. Surgical hysterectomy plus double attachment and partial removal of the lesion, with cyclophosphamide chemotherapy, one month after the death. Pathological diagnosis of “bilateral ovarian lymphosarcoma and peritoneal metastasis.” Combined with domestic and foreign literature that: ovarian lymphosarcoma with high malignancy, poor prognosis. This case speculated that postpartum lymphocytes due to inflammation, and then transformed into tumors, or from the ovarian vascular reticular lymphoid tissue, it is considered as primary ovarian lymphosarcoma. Therefore, initially considered Cooper’s use of the level of malignancy to determine the primary or secondary is not enough.