论文部分内容阅读
患者41岁,因诊断为宫颈癌Ⅱ_b期,于1994年8月25日经腹行全子宫及双附件切除术,由于盆腔淋巴结受累,术后行放射治疗(50Gy)。术后1年(1995年8月8日)因剧烈腹痛再次入院。胸片检查正常,腹部X光照片发现盆腔右侧包块。CT进一步证实盆腔右侧有密度增高之包块,检查中发现纵膈左侧有一个包块,心电图显示电轴右移,胸部MRI显示右心室发现一个大约2.0cm×3.5cm×5.0cm的肿瘤,并浸润了周围心肌。该患者过去无心血管疾病历史,除轻度呼吸困难外无其它特殊症状。在CT引导下行盆腔包块活组织检查,病检报告为鳞状细胞癌,
The patient, age 41, was diagnosed with stage IIb cervical cancer. On August 25, 1994, he was subjected to total hysterectomy and double-attachment excision. Radiotherapy (50 Gy) was performed postoperatively due to pelvic lymph node involvement. One year after surgery (August 8, 1995) was admitted again due to severe abdominal pain. Normal chest X-ray examination, abdominal pelvic right pelvic X-ray findings. CT further confirmed that the pelvic right side of the mass increased mass in the examination found in the left side of the mediastinum has a mass, the ECG shows the right axis shift, chest MRI showed that the right ventricle found a tumor of about 2.0cm × 3.5cm × 5.0cm , And infiltrated the surrounding myocardium. The patient had no previous history of cardiovascular disease and had no other specific symptoms other than mild dyspnea. In CT-guided pelvic pelvis biopsy, pathological examination for squamous cell carcinoma,