附件

Objective: To evaluate women with adnexal masses in the the preoperative period by the risk malignancy index based on the combination of menopausal status, serum CA (125) and ultrasound findings.

目的：探讨以绝经状态，血清CA125和超声评分3者结合建立的恶性危险指数对附件包块术前诊断中的应用进行评价。

C. It is reasonable to pursue a period of observation in a premenopausal woman with an adnexal mass if the mass is not clinically suspicious on ultrasonography.

如果在超声检查下没有临床怀疑的附件包块绝经前妇女，追踪观察一个阶段是有理由的。

With the development of laparoscopic instruments and surgical techniques, the indication can be properly widened for adnexal benign tumors ≥8 cm in diameter and patients with a history of lower abdominal surgery.

随着腹腔镜器械的发展及手术技巧的提高，对于附件良性肿瘤直径≥8 cm及下腹部手术史患者的适应证可适当拓宽。

Methods:MRI of adnexal bone in 32 patients with vertebral myelomas and 32 patients with metastatic tumors were analyzed,including number,position,form,size,distribution range of tumors in the adnexal bones.

分析侵及附件骨的脊椎骨髓瘤、转移瘤各32例，包括病变的数目、分布、形态、大小等方面。

The diagnosis can be difficult to establish because the tumor may resemble metastatic neuroendocrine tumors, lymphoma, leukemia, adnexal tumors and melanoma, and it may occur in association with other skin tumors.

这个疾病的诊断比较困难，因为它类似于转移性的神经内分泌肿瘤、淋巴瘤、白血病、附件肿瘤和黑色素瘤，并且也可能与其它皮肤肿瘤伴发。

C. Adnexal enlargement may be palpable if an endometrioma is present.

C。子宫腺肌症可能触及附件扩大。

C. It is reasonable to pursue a period ofobservation in a premenopausal woman with an adnexal mass if themass is not clinically suspicious on ultrasonography.

如果在超声检查下没有临床怀疑的附件包块绝经前妇女，追踪观察一个阶段是有理由的。

C. It is reasonable to pursue a period of observation in apremenopausal woman with an adnexal mass if the mass is notclinically suspicious on ultrasonography.

C。对于绝经期前妇女的附件肿块，若未被临床超声检查所怀疑，可以随访观察一段时间。

The difference in MRI expression of the adnexal bone is helpful for differential diagnosis of vertebral myeloma and metastatic tumor.It could provide reliable bases to select therapy.

脊椎骨髓瘤、转移瘤附件骨MRI表现的差异性，有助于对二者的鉴别，为临床治疗方法的选择提供可靠依据。

Adnexal masses that are mobile, purely cystic, unilateral, less than 8 to 10 cm indiameter, and have smooth internal and external contours by ultrasound are highly unlikely to be malignant and can be followed for two months; the majority of physiologic cysts will regress during this time.

附件包块是活动的，囊性的，一侧的，直径小于8～10cm和通过超声检查可见光滑的内外轮廓，这个包块不可能是恶性的，可随访2个月；大多数的生理性囊肿在这个时期可以消退。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。