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題名 | 骨盆腔內之外腹膜腔肥大淋巴結類似左側卵巢病灶= |
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作者 | 黃哲勳; 潘慧本; |
期刊 | 臨床醫學 |
出版日期 | 20030500 |
卷期 | 51:5=305 2003.05[民92.05] |
頁次 | 頁365-367 |
分類號 | 416.242 |
語文 | chi |
關鍵詞 | 外腹膜腔; 淋巴結病變; 過渡上皮細胞癌; 電腦斷層攝影; Extra-peritoneum; Lymphadenopathy; Transitional cell caricoma; Computed tomography; |
中文摘要 | 一名56歲婦人因泌尿道發炎及下腹痛前來求診,理學檢查無特殊發弄,夜尿液檢查有微血尿(microhematuria)及膿尿,超音波檢查發現左側腎臟變小且有重度水腎,追蹤其阻塞位置發現骨盆腔內有一6.6公分大小的腫塊位於子宮左側,疑似子宮附件(adnexa),例如卵巢腫瘤,進一步作電腦斷層掃描(computed tomography, CT)檢查,發該腫塊實為外腹膜腔之病灶,把變厚的腹膜向內推擠,內側正常卵巢與腫塊尚有一膜之隔。外腹腔之病灶以淋巴結病變最常見, 例如淋巴瘤、淋巴轉移或癌症,其他良性為淋巴腺瘤、神經性瘤,惡性以肉瘤為主,病患最後證實為下段之輸尿管癌,向膀胱凸出而無膀胱侵犯。轉移淋巴結之大小與預後有關,>5公分者其預後不佳。 |
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