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恶性黑色素瘤(简称恶黑),是一种高度恶性肿瘤,大多数病例位于皮肤,少数位于皮肤以外的粘膜,眼球色素膜、软脑膜等处。位于子宫颈的恶黑,极为罕见,我院曾遇到1例,报告如下。病例报告女,24岁,农民。因阴道流血6个月,于1982年5月5日入院。入院前6个月,发生阴道流血。血色暗红,量少,持续不净,无组织或血凝块。阴道流血呈暗褐色,略臭,并感下腹坠胀3个月。入院前一周,感头晕、耳鸣、乏力,来院求治。在门诊妇检中,发生阴道大出血。患者面色苍白,全身厥冷,神志恍惚,血压测不到,抢救后入院。病程中无腹痛,大便通畅。既往身体健康,月经正常。查体:体温37.6℃,血压100/80mmHg。急性病容,贫血貌,皮肤无异常色素痣,浅表淋巴结不肿大,心
Malignant melanoma (referred to as evil black), is a highly malignant tumor, most cases are located in the skin, a few outside the skin in the mucosa, eye pigment, pia mater and other places. Black is located in the cervix, extremely rare, our hospital has encountered 1 case, the report is as follows. Case report Female, 24 years old, farmer. Due to vaginal bleeding for 6 months, on May 5, 1982 admission. 6 months before admission, vaginal bleeding occurs. Scar dark, less, no net, no tissue or blood clots. Vaginal bleeding was dark brown, slightly smelly, and feel the lower abdomen bulge for 3 months. A week before admission, feeling dizzy, tinnitus, fatigue, to the hospital for treatment. In outpatient gynecological examination, vaginal bleeding occurred. Patient pale, systemic Jueleng, trance, blood pressure can not be measured, hospitalized after the rescue. No abdominal pain during the course of the stool smooth. Past physical health, normal menstruation. Physical examination: body temperature 37.6 ℃, blood pressure 100 / 80mmHg. Acute illness, anemia appearance, no abnormal skin pigment nevus, superficial lymph nodes are not swollen, heart