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患者男性,22岁,未婚。1986年12月因腹痛住外地某医院,发现下腹部有一肿块。12月24日剖腹探查,见膀胱上方紧贴后腹膜有10×10×10cm肿块,予以切除。病理切片中见有典型(SCHILLER-Dural)小体及网状结构,未见睾丸及睾丸胚胎性组织细胞,诊断为内胚窦瘤。当时,患者AFP400ng/ml,CEA16ng/ml。1987年2月,患者突发性左下腹痛,呈阵发性,腹透示下腹部有气液平,以粘连性肠梗阻、腹膜后内胚窦瘤复发可能收入我
The patient was male, 22 years old and unmarried. In December 1986, she was hospitalized in a foreign hospital for abdominal pain and found a mass in the lower abdomen. The exploratory laparotomy was performed on December 24, and a mass of 10×10×10 cm was found on the peritoneum immediately above the bladder and was removed. In the pathological section, there were typical (SCHILLER-Dural) bodies and reticular formations, and no testicular and testicular embryonic tissue cells were diagnosed as endodermal sinus tumors. At that time, the patient had AFP 400ng/ml and CEA 16ng/ml. In February 1987, the patient developed sudden left lower abdominal pain, paroxysmal, and abdominal fluid showed a lower air-liquid level. The recurrence of retroperitoneal epidermal sinus tumor may result in adhesion intestinal obstruction.