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阴道卵黄囊瘤一例并文献复习

Journal of Clinical Radiology(2019)

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Abstract
患者 女,11个月,因阴道出血5天人院.体检:生命体征平稳,腹软,无压痛,反跳痛及肌紧张,未扪及包块,会阴部检查未见异常,尿道口及阴道口未见异常分泌物.实验室检查:CA-199 87.20 U/ml(参考值<35 U/ml),CA-125 36.1U/ml(参考值<35 U/ml),甲胎蛋白(AFP)> 3000 ng/ml(参考值< 7.4 U/ml).彩超示:盆腔内膀胱后方探及大小31mm×18 mm实性低回声,边界清,内部回声欠均匀,内见点状血流信号.CT平扫:膀胱和直肠间见大小34 mm×23 mm软组织肿块,增强扫描动脉期均匀强化,静脉期呈持续性强化(图1A ~C).
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