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病员刘△,女,22岁,未婚,住院号13208。末次月经1991年4月22日。因“发现下腹包块4~+年”入院。查体:心肺(-)。妇科检查:阴毛分布正常,大小阴唇发育良好。肛查:子宫正常大小,活动,无压痛。下腹部扪及一6~+月孕大包块,囊性,上部较下部稍硬,上界达脐上1cm,与子宫无粘连。初步诊断为“卵巢上皮性囊腺瘤”行剖腹探查术。术中发现子宫约50~+天孕大,软,表面充血。右卵巢增大约35×30×25cm~3表面光滑,囊性,剖视见其壁厚约0.3～0.4cm,单房,内壁上有数个直径1~±cm内含清亮粘液的小泡。整个囊腔内充满稀薄暗褐色液体约3000~±ml及少许粘液丝。左卵巢约3×3×4cm~3,其上可见数个直径0.3～0.5cm的滤泡。双侧输卵管未见异常。手术切除右卵巢及右输
Patient Liu △, female, 22 years old, unmarried, hospital number 13208. The last menstruation April 22, 1991. Because of “found abdominal mass 4 ~ + year” admission. Physical examination: cardiopulmonary (-). Gynecological examination: pubic hair distribution is normal, the size of the labia is well developed. Anal examination: normal size of the uterus, activity, no tenderness. The lower abdomen palpable a 6 ~ + large breast mass, cystic, slightly harder than the lower part of the upper bound on the umbilical 1cm, no adhesions with the uterus. Preliminary diagnosis of “ovarian epithelial cystadenoma” laparotomy. Uterine intrauterine pregnancy was found about 50 ~ + day, soft, superficial hyperemia. The right ovary increased by about 35 × 30 × 25cm ~ 3 smooth surface, cystic, see the wall thickness of about 0.3 ~ 0.4cm, single room, the wall has several diameter 1 ~ ± cm containing clear mucus vesicles. The entire cystic cavity filled with thin dark brown liquid about 3000 ~ ± ml and a little mucus silk. Left ovary about 3 × 3 × 4cm ~ 3, which can be seen on the number of 0.3 ~ 0.5cm diameter follicles. No abnormal bilateral tubal. Surgical removal of the right ovary and right lose