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患者女性52岁,农民,已婚,绝经2年,最近半年左右自己感腹部胀大,食欲正常但脸部有消瘦,乏力,无发热感,惟大印便常便秘,小便次数增多,无阴道流血,来院检査,腹部移动性浊音(十),左下腹可及隐约肿块,妇科检査:子宫偏右,大小正常活动度略差。右侧(一),左前方可及7cmX6cmX5cm大小肿块质硬表面不平,B超证实为实质性肿块请回答: (1) 该患者的第一诊断,其依据是什么? (2) 诊治原则和护理重点。
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