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原发性输卵管绒癌临床极少见,现遇1例,报告如下:患者女.44岁。因“右下腹部包块伴下腹痛5天”经门诊检查于1990年10月20日以“右卵巢肿瘤蒂扭转”收入院。患者双侧输卵管结扎11年,术后月经同术前按月来潮。1990年8月曾停经35天后阴道持续少量流血2月余,伴右下腹坠痛,当时仅有少量血块而未发现有其它块状物流出,当地医院诊为“更年期功能失调性子宫出血”给予雄孕激素治疗半月,阴道流血渐止。1990年7月8日“来月经”后又淋漓不断2个月,服中药后痊愈。9月劳动后突然感右下腹痛,按“阑尾炎”在当地医院抗感染治疗10余天,腹痛渐轻,入院前3天不明原因又突然下腹痛伴轻微咳嗽无咳血,急来我院就诊。
Primary tubal choriocarcinoma clinical rare, now encountered in 1 case, the report is as follows: The patient female .44 years old. Due to “right lower quadrant abdominal mass accompanied by abdominal pain for 5 days” by the outpatient examination in October 20, 1990 to “right ovarian tumor torsion” income hospital. Patients with bilateral tubal ligation for 11 years, after surgery with menstrual cramps the same month. August 1990 had 35 days after stopping vaginal sustained small amount of bleeding more than 2 months, with the right lower quadrant pain, when only a small amount of blood clots and found no other block outflow, the local hospital diagnosed as “menopausal dysfunctional uterine bleeding” given Androgen treatment half a month, vaginal bleeding gradually. July 8, 1990 “to menstruation” after dripping 2 months, after taking medicine cured. In September after a sudden sense of right lower abdominal pain after labor, according to “appendicitis” in the local hospital anti-infective treatment for more than 10 days, abdominal pain gradually reduced, 3 days before admission for unknown reasons and suddenly a sudden abdominal pain with mild cough without coughing blood, urgent to our hospital.