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患者,26岁,已婚。下腹部持续性闷痛3个月,阵发性加剧。停经3个月。手术见右侧卵巢有一柚子大包块,表面不规则为菜花状,硬度不均,内含大量陈旧性血液,与盆腔壁粘连,右卵巢正常。送检为卵巢肿瘤切除标本,大小8cm×7cm×6.5cm,表面不光滑,切面绚红色,散在小区域呈灰白色、灰黄色,细颗粒状,无包膜。 镜下大部分出血坏死。实质区细胞梭形,卵圆形,不规则形,不规则交错分布或以漩涡状走行(图1)。肿瘤细胞体
Patient, 26 years old, married. Continuous abdominal pain in the lower abdomen for 3 months, paroxysmal increase. Menopause for 3 months. Surgical see the right ovary has a grapefruit large pieces of irregular surface cauliflower-like, uneven hardness, contains a lot of old blood, and pelvic wall adhesions, right ovary normal. Sent for ovarian tumor resection specimens, the size of 8cm × 7cm × 6.5cm, the surface is not smooth, section gorgeous red, scattered in a small area of gray, gray, fine granular, non-enveloped. Most of the bleeding hemorrhage necrosis. The parenchyma cells are fusiform, ovoid, irregular, irregularly staggered or swirling (Figure 1). Tumor cell body