問題詳情

79 一位 30 歲婦女因結婚 5 年後一直無法懷孕而就診。她抱怨過去在月經期常有腹痛情形發生。身體檢查並無任何異常。腹腔鏡檢查發現在子宮及兩側卵巢的表面有許多約 2-5 毫米的出血病變。下列病變中,何者最可能出現在此位婦女的卵巢?
(A)子宮內膜樣囊腫(Endometriotic cyst)
(B)克魯肯氏腫瘤(Krukenberg tumor)
(C)成熟囊狀畸胎瘤(Mature cystic teratoma)
(D)多囊性卵巢疾病(Polycystic ovarian disease)

參考答案

答案:A
難度:適中0.6
統計:A(2),B(1),C(0),D(6),E(0)

用户評論

【用戶】Chris

【年級】高三下

【評論內容】Endometriosis – functioning glands and stroma outside the uterus (myometrium is INSIDE); MC location = ovary, causes bleeding in the ovary – see chocolate cyst (endometroma’s - not cancer, just endometriosis of the ovary), tube, in pouch of Douglas Example: good question to ask if pt has endometriosis: “Does it hurt when you defecate ? Yes.  How about when your period goes away?”   No,  it  goes   away  – this   is  endometriosis   bc  there   is  bleeding  in  the  rectal  pouch   of  the   pouch   of  Douglas  (there   is endometreosis there).  The rectum is fi...