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此瘤罕见。复习国内文献,己见48例报道(连同本例)。我院在近30年72,866例外检中,仅遇到1例,现报告如下: 患者,女,58岁。绝经8年,阴道不规则出血4~+年,伴下腹阵发性绞痛1~+个月。检查,外阴无异常,阴道畅,前壁泡满。宫颈口脱出一息肉样组织,蚕豆大,灰白色,软。子宫前位10~+周大小,质地硬,表面略不平,活动受限。子宫左角上方、骨盆侧触及一包块,约12×8×6cm,不活动,表面尚光滑,硬,达盆壁。三合诊:双侧主韧带及器韧带均较硬,弹性消失。B型超声:宫体增大,轮廓不规则,回声不均匀,可见低回声及较强的回声斑。于子宫左上方有一无回声区,范围5.8×3.7cm,内有多条回声。印象:子宫肌瘤,恶性变待除外。临床诊断为恶性肿瘤。将宫颈口脱出之息肉样组织切除送检。
This tumor is rare. Review of the domestic literature, have seen 48 cases (together with this case). Our hospital in the past 30 years 72,866 cases of seizures, only encountered in 1 case, the report is as follows: Patients, female, 58 years old. Menopause 8 years, irregular vaginal bleeding 4 ~ + years, with abdominal laxity angina 1 ~ + months. Check, no abnormal vulva, vaginal Chang, full of anterior wall bubble. Cervical spit out of a polyp-like tissue, broad beans, gray, soft. Uterus 10 ~ + weeks size, texture hard, slightly uneven surface, limited activity. Above the left corner of the uterus, the pelvis touches a mass of pellets, about 12 × 8 × 6cm, inactive, smooth surface, hard, up to the pelvic wall. Triple consultation: bilateral main ligament and ligament are harder, elastic disappear. B-mode ultrasound: Palace increased, the outline of irregular, uneven echoes, showing low echo and strong echo spots. In the upper left of the uterus there is a non-echo area, range 5.8 × 3.7cm, there are multiple echo. Impression: Uterine fibroids, malignant change to be excluded. Clinical diagnosis of malignant tumors. Exfoliate the cervix polyp resection.