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卵巢肿瘤

doctorjing 离线

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楼主 发表于 2009-08-16 09:32|举报|关注(0)
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姓    名: ××× 性别:  女 年龄:  60
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简要病史:  腹胀3月伴下腹痛6天
肉眼检查:  卵巢肿块最大径10cm,表面菜花样,与周围组织粘连,部分组织乳头样、囊壁样,切面灰红、灰白、质中偏软,易碎。
卵巢肿瘤图1
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卵巢肿瘤图2
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卵巢肿瘤图3
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卵巢肿瘤图4
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卵巢肿瘤图5
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卵巢肿瘤图6
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mjma 离线

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1 楼    发表于2009-08-16 20:21:00举报|引用
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Please make your best effort to describe the lesion so that we develop an accurate picture in our mind without having to see the actual specimen. Include detailed gross and microscopic appearances of the lesion. This is very important for others to give useful opinions.

Your photographs show an area of stromal cell proliferation and associated small lymphocytic infiltration. They appear to be taken from one area and do not fit the features of any common ovarian neoplasms. Therefore you will find very few Huaxia members willing to give opinion based on these information.

Please provide more information if possible. The word "cystic wall" was mentioned in your gross description. Is the ovarian tumor cystic focally? If so, can you estimate the ratio of solid to cystic areas in volume? If there is a cystic component, please sample the cystic wall lining and take some representative photos of the lining to show. As for the solid areas, please look for any epithelial elements and take photos to show us. Thank you.

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聞道有先後,術業有專攻

doctorjing 离线

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2 楼    发表于2009-08-17 12:56:00举报|引用
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 I will try my best to make it better.Thank you!
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wy1992 在线

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3 楼    发表于2009-08-17 13:46:00举报|引用
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 very difficult to estimate the accurate diagnosis but I think it may be a benign tumor which may arise from the neurosystem
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朱正龙

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4 楼    发表于2009-08-18 13:54:00举报|引用
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 thecoma
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朱正龙

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