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女性，腹胀2月余并发现腹盆腔包块，请诊断!

2019-10-17 不详 影像园

腹胀腹盆腔包块
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女性，腹胀2月余并发现腹盆腔包块，请诊断!

【所属科室】

肿瘤科

【基本资料】

女性，56岁

【主诉】

腹胀2月余，发现腹盆腔包块1天

【查体】

腹膨隆，扪及24x24x15cm肿块，呈囊性，边界清，上界达剑突下，活动可，无压痛

【影像图片】

























【讨论】

评论：盆腔内巨大囊性占位病变，均匀薄壁，囊内无分隔，增强扫描无强化，考虑浆液性囊腺瘤可能大。
 
【病理结果】

符合卵巢粘液性囊肿
 
【病例小结】

卵巢粘液性囊腺瘤属于上皮性肿瘤，根据其细胞分化程度，区分为良性、交界性、恶性。多见于30～50岁妇女，大多为单侧性。肿瘤体积常较大，绝大多数为薄壁多房囊性，子囊多且大小不等，囊壁和间隔厚薄不均，少数呈单囊改变，囊壁稍厚，囊内密度不均，部分子囊密度较高，CT值在40-70HU间，酷似实性，这与粘液性囊腺瘤囊内含有较高蛋白成分或出血有关；部分子囊内可见孙囊，为特征性表现。增强扫描囊壁及间隔强化。

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  1. [GetPortalCommentsPageByObjectIdResponse(id=1758170, encodeId=17891e5817004, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Nov 30 16:41:00 CST 2019, time=2019-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1988491, encodeId=f8581988491b9, content=<a href='/topic/show?id=fd41e220683' target=_blank style='color:#2F92EE;'>#盆腔包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72206, encryptionId=fd41e220683, topicName=盆腔包块)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=570c172, createdName=tigerlr98, createdTime=Wed Jan 08 00:41:00 CST 2020, time=2020-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069986, encodeId=d900206998680, content=<a href='/topic/show?id=b236855681e' target=_blank style='color:#2F92EE;'>#腹盆腔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85568, encryptionId=b236855681e, topicName=腹盆腔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, createdName=gongliu, createdTime=Sun Jul 12 09:41:00 CST 2020, time=2020-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771589, encodeId=b2b51e7158991, content=<a href='/topic/show?id=1937334448f' target=_blank style='color:#2F92EE;'>#包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33444, encryptionId=1937334448f, topicName=包块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d3638322754, createdName=qidongfanjian, createdTime=Tue Feb 25 05:41:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1313302, encodeId=f66c13133027a, content=<a href='/topic/show?id=697a85583cf' target=_blank style='color:#2F92EE;'>#腹胀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85583, encryptionId=697a85583cf, topicName=腹胀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d64f419, createdName=qindq, createdTime=Sat Oct 19 04:41:00 CST 2019, time=2019-10-19, status=1, ipAttribution=)]
    2019-11-30 丁鹏鹏

    #并发#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=1758170, encodeId=17891e5817004, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Nov 30 16:41:00 CST 2019, time=2019-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1988491, encodeId=f8581988491b9, content=<a href='/topic/show?id=fd41e220683' target=_blank style='color:#2F92EE;'>#盆腔包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72206, encryptionId=fd41e220683, topicName=盆腔包块)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=570c172, createdName=tigerlr98, createdTime=Wed Jan 08 00:41:00 CST 2020, time=2020-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069986, encodeId=d900206998680, content=<a href='/topic/show?id=b236855681e' target=_blank style='color:#2F92EE;'>#腹盆腔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85568, encryptionId=b236855681e, topicName=腹盆腔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, createdName=gongliu, createdTime=Sun Jul 12 09:41:00 CST 2020, time=2020-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771589, encodeId=b2b51e7158991, content=<a href='/topic/show?id=1937334448f' target=_blank style='color:#2F92EE;'>#包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33444, encryptionId=1937334448f, topicName=包块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d3638322754, createdName=qidongfanjian, createdTime=Tue Feb 25 05:41:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1313302, encodeId=f66c13133027a, content=<a href='/topic/show?id=697a85583cf' target=_blank style='color:#2F92EE;'>#腹胀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85583, encryptionId=697a85583cf, topicName=腹胀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d64f419, createdName=qindq, createdTime=Sat Oct 19 04:41:00 CST 2019, time=2019-10-19, status=1, ipAttribution=)]
    2020-01-08 tigerlr98

    #盆腔包块#

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=1758170, encodeId=17891e5817004, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Nov 30 16:41:00 CST 2019, time=2019-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1988491, encodeId=f8581988491b9, content=<a href='/topic/show?id=fd41e220683' target=_blank style='color:#2F92EE;'>#盆腔包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72206, encryptionId=fd41e220683, topicName=盆腔包块)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=570c172, createdName=tigerlr98, createdTime=Wed Jan 08 00:41:00 CST 2020, time=2020-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069986, encodeId=d900206998680, content=<a href='/topic/show?id=b236855681e' target=_blank style='color:#2F92EE;'>#腹盆腔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85568, encryptionId=b236855681e, topicName=腹盆腔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, createdName=gongliu, createdTime=Sun Jul 12 09:41:00 CST 2020, time=2020-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771589, encodeId=b2b51e7158991, content=<a href='/topic/show?id=1937334448f' target=_blank style='color:#2F92EE;'>#包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33444, encryptionId=1937334448f, topicName=包块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d3638322754, createdName=qidongfanjian, createdTime=Tue Feb 25 05:41:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1313302, encodeId=f66c13133027a, content=<a href='/topic/show?id=697a85583cf' target=_blank style='color:#2F92EE;'>#腹胀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85583, encryptionId=697a85583cf, topicName=腹胀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d64f419, createdName=qindq, createdTime=Sat Oct 19 04:41:00 CST 2019, time=2019-10-19, status=1, ipAttribution=)]
    2020-07-12 gongliu

    #腹盆腔#

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=1758170, encodeId=17891e5817004, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Nov 30 16:41:00 CST 2019, time=2019-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1988491, encodeId=f8581988491b9, content=<a href='/topic/show?id=fd41e220683' target=_blank style='color:#2F92EE;'>#盆腔包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72206, encryptionId=fd41e220683, topicName=盆腔包块)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=570c172, createdName=tigerlr98, createdTime=Wed Jan 08 00:41:00 CST 2020, time=2020-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069986, encodeId=d900206998680, content=<a href='/topic/show?id=b236855681e' target=_blank style='color:#2F92EE;'>#腹盆腔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85568, encryptionId=b236855681e, topicName=腹盆腔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, createdName=gongliu, createdTime=Sun Jul 12 09:41:00 CST 2020, time=2020-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771589, encodeId=b2b51e7158991, content=<a href='/topic/show?id=1937334448f' target=_blank style='color:#2F92EE;'>#包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33444, encryptionId=1937334448f, topicName=包块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d3638322754, createdName=qidongfanjian, createdTime=Tue Feb 25 05:41:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1313302, encodeId=f66c13133027a, content=<a href='/topic/show?id=697a85583cf' target=_blank style='color:#2F92EE;'>#腹胀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85583, encryptionId=697a85583cf, topicName=腹胀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d64f419, createdName=qindq, createdTime=Sat Oct 19 04:41:00 CST 2019, time=2019-10-19, status=1, ipAttribution=)]
    2020-02-25 qidongfanjian

    #包块#

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=1758170, encodeId=17891e5817004, content=<a href='/topic/show?id=84ba49031f9' target=_blank style='color:#2F92EE;'>#并发#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=78, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=49031, encryptionId=84ba49031f9, topicName=并发)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=a27e37327108, createdName=丁鹏鹏, createdTime=Sat Nov 30 16:41:00 CST 2019, time=2019-11-30, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1988491, encodeId=f8581988491b9, content=<a href='/topic/show?id=fd41e220683' target=_blank style='color:#2F92EE;'>#盆腔包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=72206, encryptionId=fd41e220683, topicName=盆腔包块)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=570c172, createdName=tigerlr98, createdTime=Wed Jan 08 00:41:00 CST 2020, time=2020-01-08, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=2069986, encodeId=d900206998680, content=<a href='/topic/show?id=b236855681e' target=_blank style='color:#2F92EE;'>#腹盆腔#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=62, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85568, encryptionId=b236855681e, topicName=腹盆腔)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=1a5a149, createdName=gongliu, createdTime=Sun Jul 12 09:41:00 CST 2020, time=2020-07-12, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1771589, encodeId=b2b51e7158991, content=<a href='/topic/show?id=1937334448f' target=_blank style='color:#2F92EE;'>#包块#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=33444, encryptionId=1937334448f, topicName=包块)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2d3638322754, createdName=qidongfanjian, createdTime=Tue Feb 25 05:41:00 CST 2020, time=2020-02-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1313302, encodeId=f66c13133027a, content=<a href='/topic/show?id=697a85583cf' target=_blank style='color:#2F92EE;'>#腹胀#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=61, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85583, encryptionId=697a85583cf, topicName=腹胀)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=d64f419, createdName=qindq, createdTime=Sat Oct 19 04:41:00 CST 2019, time=2019-10-19, status=1, ipAttribution=)]
    2019-10-19 qindq

    #腹胀#

    0

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男性，腹胀，大便变细，排便费力，偶有大便带血，请诊断!

男性，腹胀，大便变细，排便费力，偶有大便带血，请诊断!

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