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卵巢淋巴瘤一例报告及文献复习
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- Author:
- No author available
- Journal Title:
- Chinese Journal of Obstetrics and Gynecology
- Issue:
- 12
- DOI:
- 10.3760/cma.j.issn.0529-567x.2013.12.017
- Key Word:
- No keyword available
Abstract： 原发性卵巢淋巴瘤是一种罕见的恶性肿瘤,其体征和临床症状都是非特异性的.现就本院诊治的1例原发性卵巢非霍奇金淋巴瘤(primary ovarian non-Hodgkin lymphoma,PONHL)结合文献复习报道如下.一、临床资料患者57岁,既往月经规则4～7 d/30 d,慢性盆腔炎病史5年,时有下腹痛.3个月前开始出现反复下腹坠痛,可自行缓解.10 d前下腹坠痛加剧伴肛门坠胀,当地医院抗炎治疗2d后病情好转(具体治疗情况不详),4d前患者腹痛加重,于2012年4月拟诊盆腔炎入院治疗.B超显示,子宫左后方低回声肿块7.9 cm×7.1 cm大小,内部回声欠均匀.妇科检查:阴道后穹隆饱满,子宫前位,正常大小、不活动,压痛明显.子宫后方触及直径约8 cm大小的包块,边界欠清,压痛阳性,不活动.三合诊直肠黏膜光滑.临床诊断:盆腔包块性质待查.行剖腹探查术,术中见子宫正常大小,子宫后方实性肿块与子宫后壁及直肠前壁粘连,钝性分离后送检病理检查.术中快速病理报告:左侧卵巢恶性肿瘤,具体待常规检查.
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