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例1,女,50岁,白觉腹部渐大伴痛经1年多。体检:精神好,心、肺无异常,腹部稍膨隆,扪及肿块上界平脐。妇科检查穹窿右前方扪及肿块约6×6×5cm,左侧扪及肿块约10×8×8cm,似来自卵巢,部分实质感,活动度欠佳。超声检查:子宫偏左肿,块约6.1×3.8×4.0cm,腹部探及实质性肿块,上界达脐上6cm,下界至盆腔,两侧至腋前线,肿块内见散在不规则液性暗区,未见正常卵巢图像。B超提示:盆腹腔实质性肿块,可能来自卵巢。手术见肿块来自左侧阔韧带,约26×18×15cm,与子宫左侧相连,子宫,双侧附件未见异常。病理报告为左侧阔韧带内子宫平滑肌瘤。
Example 1, female, 50 years old, white felt abdominal pain with more than 1 year. Physical examination: good spirits, heart, lungs no abnormalities, slightly bulging abdomen, palpable upper boundary of the umbilical cord. Gynecological examination of the right anterior palpable palpable tumor about 6 × 6 × 5cm, left palpable mass about 10 × 8 × 8cm, like from the ovary, part of the real sense of poor activity. Ultrasonography: uterine left-sided swelling, block about 6.1 × 3.8 × 4.0cm, abdominal exploration and substantive mass, the upper bound on the umbilical 6cm, the lower bound to the pelvis, both sides to the anterior axillary line, the mass see scattered in the irregular liquid dark District, no normal ovary images. B-Tip: tubal abdominal lumps, may be from the ovary. Surgery, see the mass from the left wide ligament, about 26 × 18 × 15cm, connected with the left side of the uterus, uterus, bilateral attachment no abnormalities. Pathology report for the left wide ligament uterine leiomyoma.