晚期梅毒病变一般认为是不常发生在子宫体的。就作者所能查到的文献,仅国外有 Caffier 氏、Bezzi氏、Billig 氏等三例报告,其中 Caffier 一例尚未能确诊,Bezzi 一例缺乏病理检查。笔者报告的三例均经病理检查及血清反应证实,且颇可表明梅毒的基本病变及其发展的特征。病例报告病例一:32岁,女性,由于下腹包块一年余入院。据说在18岁时与其姑母同睡后外阴长过小疮,以后自愈,20岁结婚一直未孕,月经16(3—4)/(30)。丈夫否认性病史。体格检查,除宫体大如三月妊娠外无阳性发现。临床诊断为子宫肌瘤,于1954年11月作子宫截除术,术后经过良好。病理检查:(病理号5250—54)标本为自子宫颈上部截断之子宫,量10.1×8.5×6.5厘米,重295克,二侧卵管均在近子宫端截断,子宫体后面上部及前面 Late syphilis lesions are generally considered to occur infrequently in the uterus. The authors can find the literature, only abroad Caffier’s, Bezzi’s, Billig’s and other three cases, of which one case of Caffier has not been diagnosed, one case of Bezzi lack of pathological examination. The author reported three cases were confirmed by pathological examination and serum reaction, and can quite indicate the basic characteristics of syphilis and its development. Case report Case one: 32 years old, female, due to lower abdominal mass more than a year admitted to hospital. It is said that at the age of 18 with his aunt after sleeping with vulva over small sores, self-healing, 20-year-old married has never been pregnant, menstruation 16 (3-4) / (30). Husband denied sexual history. Physical examination, in addition to the body as large as March pregnant no positive findings. Clinical diagnosis of uterine fibroids, in November 1954 for uterine amputation, after good. Pathological examination: (pathology 5250-54) specimens from the top of the uterus cut off the uterus, the amount of 10.1 × 8.5 × 6.5 cm, weighing 295 grams, both sides of the uterine end of the uterine truncated, uterine body behind the front and back