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外阴实性肿瘤少见,而外阴纤维腺瘤更少见,现有一典型病例报告如下。 患者,女45岁,右侧外阴部肿物二年余,初期如粟粒大小,逐渐增大,近半年自觉生长加快,如鸭卵大小,局部无红肿,也无触痛,查体:体温36.5℃,BP16/12KPa,外阴发育正常,粘膜无充血、着色,右侧大阴唇处可见一鸭卵大小肿物,肿物呈椭圆形,如肌样组织,病理检查:肉眼:肾形肿物,色粉红,大小为7.0×3.5×2.5cm~3,有完整包膜,切面粉红色,质软。镜下:肿物由两种成份组成,一为上皮成分,上皮细胞呈立方状,排列呈腺泡状结构;另为纤维母细胞成份,纤维母细胞围绕腺泡生长,并有大量胶原纤维产生。病理诊断:右侧外阴纤维腺瘤。
Vulva solid tumors rare, but more common vulvar fibroadenoma, there is a typical case report is as follows. Patients, female 45 years old, the right genital area more than two years, the initial such as the size of miliary, gradually increased, nearly half of conscious growth to accelerate, such as duck egg size, no local swelling, no tenderness, physical examination: body temperature 36.5 ℃, BP16 / 12KPa, normal vulva development, mucosa without congestion, staining, the right labia majora can be seen at the size of a duck egg mass, the tumor was oval, such as muscle-like tissue, pathological examination: Pink, size 7.0 × 3.5 × 2.5cm ~ 3, a complete envelope, pink section, soft. Microscope: the tumor consists of two components, one for the epithelial components, epithelial cells were arranged in the form of alveolar structure; the other for fibroblasts, fibroblasts around the acini growth, and a large number of collagen fibers . Pathological diagnosis: the right vulvar fibroadenoma.