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history. 34yG1L1(NVD) CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months. Exam: mass about 18wk in suprapubic palpated. Lab data: Tumor marker: CA125(198) CA9-19,AFP,BHCG,CEA:normal. Sonogeraphy (TVS +TAS).

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  1. history 34yG1L1(NVD) CC:Incomplete bladder emptying , Dribbling and hesitancy from a few months ago. Urinary Retention 2times in the past few months

  2. Exam:mass about 18wk in suprapubic palpated. • Lab data: • Tumor marker: • CA125(198) • CA9-19,AFP,BHCG,CEA:normal

  3. Sonogeraphy(TVS +TAS) • UT:7.2*5*4.6 • ET:9.3mm(secretory) • Left ovary:mass 25*19mm solid-cystic and solid compent have int.echo and cyst include compacted debri =endometrial cyst? • Right ovary not seen and huge cystic mass 17.4*14.5cm in right adnexa spreading to abdomen , include vegetative nodule 9.8*5.4cm=neoplastic complex cyst=mucinouscystadenocarcinoma?

  4. Operation: • RT Salpangoophorectomy, sent for frozensection: • Serocystoadenocarcinoma • then:TAH+BSO+OMENTECTOMY+PELVIC LYMPHADENECTOMY

  5. Pathology report • Right ovary :low grade papillary cyst adenocarcinoma, intact capsul.Fallop:normal. • Cytology:negative • Ut :early secretory endometrium.Acute on chronic cervitis.Paratubalcyst,cysticfollicol and hemorrhagic cyst in omentum. • Lymph nodes: reactive pattern.

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