on borderline ovarian clear cell adeno-fibroma of the clinical report（在边缘卵巢透明细胞adeno-fibroma的临床报告）.docVIP

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on borderline ovarian clear cell adeno-fibroma of the clinical report（在边缘卵巢透明细胞adeno-fibroma的临床报告）.doc

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on borderline ovarian clear cell adeno-fibroma of the clinical report（在边缘卵巢透明细胞adeno-fibroma的临床报告）

On borderline ovarian clear cell adeno-fibroma of the clinical report Author: Wang Zhengyu Zhang Xiao-Ping Wu Guangzhong Ma Jianzhong Jiang Bin [Keywords:] ovarian borderline clear cell adenofibroma, Clinical report Clinical data Female patient, 70 years old, admitted in January consciously abdominal mass since the incidence has been no irregular vaginal bleeding and discharge without abdominal pain and fever. Has more than 30 years postmenopausal Examination: General Case, no abnormal cardiopulmonary symptoms, abdominal soft, no tenderness and rebound tenderness, touching one-sided lower abdominal solid tumor. gynecological examination: vulva, vagina were normal, the uterus palpable and clear, one-sided pelvic palpable solid tumor, about 20cm * 17cm, lobulated, activities, poor, no tenderness. Color Doppler ultrasound of abdominal solid tumor attachment tips left, about 13.6cm * 13.5cm * 13.4cm size, its small cystic areas within the visible and visible point-like blood flow, uterine atrophy. Abdominal CT showed bulging lower abdomen and pelvic shape, pelvic left side shows a huge middle class round soft tissue density mass, size is about 14.2cm * 12.75cm * 10.44cm, lobulated edges, uneven density, which irregular flakes seen in low-density areas, CT value of about 16 ~ 42Hu. enhanced scan and the solid part of the edge of the lesion with mild to moderate strengthening, CT value of about 63Hu. coronal MPR image shows left ovarian vein thickening, surrounding the tumor, some aspects of the two boundaries is unclear, adjacent bowel was under pressure to change, and the tumor boundaries clearer. left ovary did not show the right shape and density of no abnormal ovary, uterine contraction. no pelvic fluid, pelvic and bilateral inguinal lymph nodes no images laboratory examination showed elevated serum tumor marker CA125, carcinoembryonic antigen, alpha-fetoprotein and CA199 to normal. Anesthesia laparotomy, the tumor seen about 20 * 15 * 14cm