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平滑肌母细胞瘤又称上皮样平滑肌瘤主见于消化道,在女性生殖器官少见。患者栾××,女,48岁,已婚,于81年1月12日入院。十年前下腹部发现鹅卵大肿物,活动,半年前开始增大迅速,并伴针刺样疼痛,半月前阴道出现流血。妇科检查,外阴正常,阴道血性分泌物,宫颈轻度糜烂,无接触出血。宫体均匀性增大如新生儿头,实性,稍软,活动稍受限,左侧宫旁呈条索状增厚,短缩,有弹性,右侧正常,两侧附件未见异常。临床诊为子宫肌瘤恶性变。于1月19日开腹,发现宫体如新生儿头大,球形、实性、质
Smooth muscle cell tumor, also known as epithelioid leiomyoma seen in the digestive tract, rare in female genital mutilation. Luan × × patients, female, 48 years old, married, January 12, 81 admission. Ten years ago found in the lower abdomen large goose egg mass, activity, began to increase rapidly six months ago, and with acupuncture-like pain, vaginal bleeding half a month ago. Gynecological examination, normal vulva, vaginal bloody discharge, mild cervical erosion, non-contact bleeding. Palace of uniformity increased, such as neonatal head, solid, slightly soft, slightly limited activity, the left side of the palatal cord-like thickening, shortening, flexible, right normal, no attachment on both sides of the anomaly. Clinical diagnosis of uterine fibroids malignant change. Open on January 19 and found that the body like neonatal big head, spherical, solid, qualitative