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患者,女,41岁。因腹部渐大半年就诊。查体:消瘦,腹膨不对称,右中下腹触及25cm×10cm不规则肿块,质中等,无触痛。临床诊断:右侧卵巢肿瘤。B超检查:右中下腹探及250mm×240mm×99mm形状不规则包块,边缘清楚,内见三个直径59~115mm的均质强回声团,无声影,后方略有衰减,其间为中等回声,右肾被推至剑突下(图1)。超声诊断:腹膜后巨大占位(右肾血管平滑肌脂肪瘤可能性大)。CT检查:
Patient, female, 41 years old. As the abdomen gradually six months treatment. Physical examination: weight loss, abdominal swelling asymmetric, right lower abdomen reach 25cm × 10cm irregular mass, medium quality, no tenderness. Clinical diagnosis: Right ovarian tumor. B-ultrasound: the right lower abdomen exploration and irregular shaped mass of 250mm × 240mm × 99mm, clear edge, see three uniform diameter 59 ~ 115mm homogeneous strong echo group, no sound shadow, the rear slightly decay, during which a moderate echo , The right kidney is pushed to the xiphoid (Figure 1). Ultrasound diagnosis: huge retroperitoneal space (right renal angiomyolipoma possibility). CT examination: