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患者,54岁,已婚。绝经5年不规则阴道出血1年半,伴白带增多有异味,于1988年3月28日入我院妇科。以往月经正常,孕5产5。妇检:外阴正常,阴道有血污,宫颈光滑,子宫稍大,附件正常。B超:子宫腔内见2×2.2cm光团,边缘不整齐,提示子宫内膜癌。经诊刮病检,确诊为:子宫内膜腺癌Ib期。行次广泛全宫切除术。剖开子宫腔,病灶位于宫底部有2cm×2.5cm×2cm大小,浸润肌层1/2。术后病者恢复良好。出院后用安宫黄体酮60mg/日,持续2年半,定期随诊4年病者健在,能胜任家务劳动。另一患者为前患者之妹,52岁,已婚。因绝经1
Patient, 54 years old, married. Menopause 5 years irregular vaginal bleeding 1 and a half years, with increased vaginal discharge odor, on March 28, 1988 into our hospital gynecology. Normal menstruation in the past, 5 pregnant 5. Maternal seizures: normal vulva, vaginal blood, smooth cervix, uterine slightly larger, normal attachment. B ultrasound: 2 × 2.2cm uterine cavity light group, irregular edge, suggesting that endometrial cancer. The curettage disease examination, diagnosed as: endometrial adenocarcinoma Ib phase. A wide range of hysterectomy line. Cut open the uterine cavity, lesions located in the bottom of the palace 2cm × 2.5cm × 2cm size, infiltration of muscle layer 1/2. After the patient recovered well. After discharge from the hospital with the progestin progesterone 60mg / day, for 2 years and a half years, regular follow-up of 4 years in patients alive, competent housework. Another patient is a former patient’s sister, 52 years old, married. Because of menopause