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患者40岁,于10年前分娩时发现宫颈上有数个绿豆大蓝色斑点。次年上环时宫颈上蓝色斑点增多,阴道壁也出现多个同样斑点。十年后取环时疑为恶性肿瘤就医。检查:阴道口、阴道壁及宫颈见多数大小不等结节及包块,呈淡蓝色或紫色,散在或融合。大者如花生米突出于粘膜表面,光滑、无溃疡,质硬无触痛,约占阴道壁的1/3。病理诊断:阴道粘膜富于细胞性蓝痣。切面呈深棕色。镜检:结节表面被覆复层鳞状上皮,上皮下疏
The patient, 40 years old, had several large blue spots on the cervix when she was delivered 10 years ago. The following year when the ring on the cervix blue spots increased vaginal wall also appeared in the same multiple spots. Ten years later when the ring is suspected of malignancy medical treatment. Check: vaginal orifice, vaginal wall and cervix see the majority of nodules and mass, pale blue or purple, scattered or fusion. The big, such as peanuts prominent mucosal surface, smooth, no ulcers, hard no tenderness, accounting for about 1/3 of the vaginal wall. Pathological diagnosis: Vaginal mucosa rich in cell nevus. Dark brown section. Microscopic examination: nodular surface covered stratified squamous epithelium, sparse under the skin