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患者31岁,住院号87—113432。16年前发现右侧外阴有一鸡蛋大肿物,无疼痛,婚后不影响性生活及分娩。近半年来肿物增长较迅速且有压痛,无红肿及畏寒发热。于1987年4月17日来院。体检:营养发育中等,全身浅表淋巴结无肿大,心肺和腹部检查均正常。妇检:右侧外阴部隆起,皮肤颜色正常,近大阴唇处有12×12×10cm 肿物,质实,上端约2×2cm 为囊性感,其内侧有明显压痛。肿瘤与皮肤无粘连,基底移动性差。阴道通畅,子宫及双侧附件无异常。B超提示:外阴实质性肿瘤,包膜完整。手术所见:骶麻下行肿物切除术,肿瘤表面血管丰富,极易出血,钝性分离至肿瘤基底部,完整摘除。肿瘤呈灰白色,椭圆形11×8×3.5cm,有包膜,包膜内有许多小血
Patient 31 years old, hospital number 87 - 113432 16 years ago found a large mass of eggs on the right vulva, no pain, marriage does not affect sexual life and childbirth. Nearly half of the rapid growth of the tumor and tenderness, no swelling and chills and fever. April 17, 1987 came to the hospital. Physical examination: medium nutrition development, systemic superficial lymph nodes without swelling, cardiopulmonary and abdominal examination were normal. Gynecological examination: the right side of the genitals uplift, the skin color is normal, near the labia with 12 × 12 × 10cm mass, the top of about 2 × 2cm cystic sexy, the medial obvious tenderness. Tumor and skin adhesion, poor mobility of the basement. Vaginal patency, uterus and bilateral annex no exception. B-Tip: vulvar solid tumor, complete capsule. Surgical findings: sacral hematoma resection, tumor surface rich in blood vessels, easy bleeding, blunt dissection to the tumor base, complete removal. Tumor was gray, oval 11 × 8 × 3.5cm, a capsule, the capsule has many small blood