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患者女,54岁。停经7年后,阴道不规则出血2年,日渐加重。于1988年7月入院。检查:身体一般情况好。阴道少量积血。宫颈肥大,糜烂,硬,接触性出血。宫体如妊娠3个月大小,质硬,实性,可活动。双侧附件无异常。超声波检查为宫体占位性病变。刮宫病理诊断为子宫内膜腺癌。宫颈咬检为低分化癌。临床诊断宫体癌Ⅰ_b期。于7月15日行宫体癌根治切除术,手术顺利,伤口Ⅰ期愈合出院。病理检查:肉眼下,宫颈和宫体呈结节性肿大,表面尚光滑。自前壁沿宫颈剖开宫体见3个肿物。①宫颈管肿物4×3.5×3cm,下缘距宫颈外口
Female patient, 54 years old. After 7 years of menopause, irregular vaginal bleeding for 2 years, increasing. Admitted to hospital in July 1988. Check: the body is generally good. Vaginal hemorrhage. Cervical hypertrophy, erosion, hard, contact bleeding. Palace body size such as 3 months of pregnancy, hard, solid, can move. Bilateral accessories without exception. Ultrasound examination for the occupancy of the palace lesions. Curettage pathology diagnosis of endometrial adenocarcinoma. Cervical bite for poorly differentiated cancer. Clinical diagnosis of uterine cancer Ⅰ b phase. On July 15, radical gland cancer resection surgery, the operation goes well, wound healing was discharged. Pathological examination: the naked eye, cervix and uterine tuberosity, the surface is still smooth. Open the uterus from the anterior wall along the cervix to see 3 mass. ① cervical tube tumor 4 × 3.5 × 3cm, the lower edge of the cervix from the mouth