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患女3岁。于8个月前发现外阴部长一肿物,如杏大小,不痛,不红,生长缓慢。入院时肿物如核桃大小。患儿大小便正常,无阴道流血、流液。曾在当地医院按炎症治疗,于1984年5月31日入院。入院检查:发育正常,心肺肝脾未见异常。妇科检查:外阴发育符合年龄,在阴阜偏左有一50cm×4cm×2cm 肿块,局部皮肤色泽正常,呈囊性,无触痛,基底部较宽,增加腹压后肿物无增大,局部未听到血管性杂音。实验室检查:Hb100g/L WBC17.2×10~9/L,N0.6、L0.3、E0.1:PC270×10~9/L;肝功正常;肿瘤穿刺抽出黄色粘液,镜下见鳞状细胞及炎性细胞。初步诊断:外阴囊肿。入院后经抗生素治疗。于1990年6月5日在全麻
She is 3 years old. In 8 months ago, it was found that the Minister of the Vulva had a mass, such as apricot, which was not painful or reddish, and was slow to grow. On admission, the mass was like a walnut. The children will have normal urine and no vaginal bleeding or fluids. He was treated as an inflammation in a local hospital and was admitted to hospital on May 31, 1984. Admission examination: normal development, no abnormalities in heart, lung, liver and spleen. Gynecological examination: The vulva development is in line with age. There is a 50cm x 4cm x 2cm mass on the left side of the hernia. The local skin is normal in color and is cystic. There is no tenderness, and the base is wider. The abdominal mass is not increased after the abdominal pressure is increased. Hear vascular murmurs. Laboratory tests: Hb100g/L WBC17.2×10~9/L, N0.6, L0.3, E0.1: PC270×10~9/L; liver function normal; tumor puncture with yellow mucus, see under the microscope Squamous cells and inflammatory cells. Initial diagnosis: genital cysts. After admission, she was treated with antibiotics. In general anesthesia on June 5, 1990