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患者女性,54岁,一年前在体检中发现腰骶部肿块约鸡蛋大,无症状,近两个月来腰骶部胀痛,伴大便困难一个月来诊.查体:慢性病容,体温、血压正常,下腹部扪及13×8.5cm大的包块,质中偏硬,边界尚清,不活动,有压疼,子宫附件扪不清.B超检查:膀胱充盈良好,内未见异常回声,子宫位置偏高,上缘与脐相平,大小约5.4×4.6×2.7cm,肌层回声尚均匀,双侧卵巢未探及.在子宫后下方探及12×9.0×7.5cm实质肿物,呈椭圆形,境界清楚,有包膜回声,肿
The female patient, 54 years old, had a lumbosacral mass about a year old on the physical examination a year ago. She was asymptomatic. She had pain in her lumbosacral area for nearly two months. She had trouble with bowel movements for a month. Clinic: chronic conditions, body temperature , normal blood pressure, lower abdominal hernia and mass of 13 × 8.5cm large, hard in quality, the border is still clear, inactive, there is pressure, uterine attachment is not clear. B-ultrasonic examination: bladder filling is good, there is no Abnormal echo, high uterine position, upper edge and umbilical level, size of about 5.4 × 4.6 × 2.7cm, muscle echo is still uniform, bilateral ovary exploration and exploration in the lower part of the uterus and 12 × 9.0 × 7.5cm Masses, oval, clear boundaries, capsule echo, swollen