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患者女性,35岁。因“腹痛腹泻2个月”于1989年9月22日入院。诊断为溃疡性结肠炎。入院后给予吡哌酸、灭滴灵、庆大霉素等治疗,腹痛、腹泻好转,但仍有里急后重,不规则发热。于10月1日上午7:30分排便时便出一肿物,大小为9.8×8.9×7.4cm,紫黑色,表面凹凸不平,有被膜包裹,光滑,质偏硬。肛诊发现肿物带蒂。病理诊断为:高分化平滑肌肉瘤。于10月21日行左半结肠切除术,治疗后出院。
Female patient, 35 years old. He was admitted to hospital on September 22, 1989 for “two months of abdominal pain and diarrhea.” The diagnosis was ulcerative colitis. She was given after treatment such as pipemidic acid, metronidazole, and gentamicin, abdominal pain and diarrhea improved, but there was still tenesmus, irregular fever. At the time of defecation on the morning of October 1st at 7:30 am, a mass of 9.8 x 8.9 x 7.4 cm was produced. The size of the mass was 9.8 x 8.9 x 7.4 cm. It was purple and black with a jagged surface, wrapped in a coating, smooth and hard. The tumor was pedunculated in the anal diagnosis. Pathological diagnosis: well-differentiated leiomyosarcoma. Left colon resection was performed on October 21 and discharged after treatment.