患者陈××,32岁,住院号204633,教师,妊娠39周,因会阴部有赘生物溃烂来院诊治,拟诊外阴恶性肿瘤于1979年6月14日入院。患者孕前会阴部正常,孕早期亦无特殊,入院前一月,于阴道口左下方出现一蚕豆大之块物,不痛不痒,但生长较快,2周内增长至核桃大。入院前半月肿块表面溃破出血,以后块物更增大,经常流血或血水,有恶臭,伴有疼痛。入院检查见会阴体偏左有4×4×3立方厘米实质性肿块,部分高出于皮肤,创面溃烂呈肉芽组织状,质硬,周围有炎性浸润.当时认为此肿块可能是恶性肿瘤,须作 Patient Chen × ×, 32 years old, hospital number 204633, teachers, 39 weeks of gestation, because of the perineal tumor ulceration to hospital for treatment, diagnosis of vulvar malignant tumor was admitted on June 14, 1979. Patients with normal perineum before pregnancy, pregnancy is also no special early, one month before admission, in the lower left corner of the vagina appear a big piece of broad bean, appetizing, but faster growth, 2 weeks to grow walnut. Half a month before admission, the surface of the tumor ruptured the hemorrhage. After the mass increased, hemorrhage or bloody blood often accompanied by stench and pain. Admitted to the hospital to see the perineum body left 4 × 4 × 3 cm solid mass, part of the above the skin, wound granulation tissue was fibrous, hard, surrounded by inflammatory infiltration was considered that the tumor may be malignant, Required