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患者42岁,自述阴道壁灼痛并触及肿物1年,近1个月疼痛加重。检查:外阴发育正常,阴道伸展良好,在阴道壁右后方,距阴道外口2cm处可触到4个直径约1～1.5cm大小的肿物,突出于阴道壁,质硬不活动,触痛明显,宫颈肥大,无糜烂及着色,子宫后位,正常大小,双侧附件异常。 在骶麻下行阴道壁肿物切除术,切除4个白色质硬肿物各1×1.5cm大小,病理诊断为阴道壁神经纤维瘤。术后随访1年,阴道壁光滑,未触及结节,局部无不适感。
The patient, 42 years old, reported burning of the vaginal wall and touching the mass for 1 year, causing pain in the past month. Check: normal vulva development, good vaginal extension in the right posterior vaginal wall, 2cm away from the vaginal orifice can reach 4 diameter of about 1 ~ 1.5cm size of the tumor, prominent in the vaginal wall, hard inactivity, tenderness Obviously, cervical hypertrophy, no erosion and coloring, posterior uterus, normal size, bilateral accessory abnormalities. In sacral anesthesia vaginal wall tumor resection, excision of 4 white mass hard tumors of 1 × 1.5cm size, pathological diagnosis of vaginal wall neurofibroma. Followed up for 1 year after surgery, the vaginal wall smooth, not touching the nodules, local without discomfort.