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患者女,75岁。反复不规则阴道少量流血10年,再发14天。体检:右附件区可触及一实性包块,大小约10 cm×7 cm,边界清,可活动。盆腔MRI平扫:示盆腔内子宫前上方偏右侧一分叶状实性软组织肿块,大小约9.6 cm×6.5 cm×6.2cm,边界清晰,T1WI上呈等、低混杂信号(图1),T2WI/精准频率反转恢复脂肪抑制(SPAIR)呈明显低信号,夹杂少量条片状稍高信号(图2、3),增强后轻度不均匀强化(图4)。病理学检查:大体为灰
Female patient, 75 years old. Repeated irregular vaginal bleeding for 10 years, the recurrence of 14 days. Physical examination: right attachment area can reach a solid mass, the size of about 10 cm × 7 cm, clear boundary, can be active. Pelvic MRI plain: the pelvic cavity shows the right side of the uterus in front of a lobular solid soft tissue mass, size of about 9.6 cm × 6.5 cm × 6.2cm, clear boundary, T1WI showed equal, low hybrid signal (Figure 1) The T2WI / SPAIR showed a significantly lower signal with a slightly larger amount of spicule-like signals (Fig. 2, 3), with a slight enhancement of mild heterogeneity (Fig. 4). Pathological examination: generally gray