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卵巢颗粒细胞瘤来源于原始性索—间质,肿瘤常为实性,可伴部分囊性变,完全囊性型罕见。表现为去女性化或男性化者罕见。现报告一例如下。患者女性,22岁,未婚。1990年2月13日因腹部膨隆5个月就诊,自述1989年9月高热数日后腹部不适,进食后腹胀加重,近来一个多月腰围明显增大,腹胀加重,纳差,渐消瘦。B超检查提示盆腔占位。个人史:月经15(5-7)/(30-37),量中,无痛经史。自1988年8月15日闭经,1989年7月自觉双乳房较前明显缩小。否认家族史。查体:体温36.8℃,脉博80次/min,血压12.0/10.0KPa,呼吸20次/min。神志清,精神差。消瘦,上唇须毛较明显。双侧乳房发育差。腹部膨隆,以下腹为重。腹部肿物界限不甚清楚,上界在剑突下三四指处,呈囊性感。
Ovarian granulosa cell tumor originated from the original cord - stroma, the tumor often solid, with some cystic degeneration, complete cystic type rare. The performance of feminization or masculinity are rare. Here is an example of the report. Patient female, 22 years old, unmarried. February 13, 1990 due to abdominal bulging 5 months treatment, reported in September 1989 after a few days of high fever abdominal discomfort, increased abdominal distension after eating, recently more than a month increased waist circumference, abdominal distension, anorexia, weight loss. B-ultrasound prompt pelvic mass. Personal history: Menstruation 15 (5-7) / (30-37), the amount of painless history. Since August 15, 1988 amenorrhea, July 1989 self-conscious double breast significantly reduced. Denied family history. Physical examination: body temperature 36.8 ℃, Pulse Bo 80 times / min, blood pressure 12.0 / 10.0KPa, breathing 20 times / min. Conscious, poor spirit. Thin, upper lip hair more obvious. Poor bilateral breast development. Abdominal bulge, the lower abdomen is heavy. Abdominal tumor boundaries is not clear, the upper three or four fingers below the xiphoid, was cystic sexy.