患者55岁因绝经10年,阴道流血性液月余而入本院诊治。7个月前无诱因出现阴道不规则流血性液,无烂肉样及水泡状组织排出,无咳嗽、咯血。入院前5天在外院行诊断性刮宫术,病理诊断子宫内膜腺癌。患者19岁结婚,孕5产5,末次妊娠26年前,为足月分娩。无葡萄胎史。查体:一般情况好,贫血貌,表浅淋巴结无肿大。心肺听诊正常。腹平软,全腹无压痛及反跳痛,肝脾未触及,无移动性浊音。妇科检查:外阴经产型,阴道通畅,宫颈光滑萎缩,有少量血性分泌物,子宫体后位,如妊娠3个月大小,质软,活动,双侧附近未触及肿物。尿HCG检测阴性。拟诊子宫内膜癌于入院后5天行全 55-year-old patient for menopause 10 years, vaginal bleeding fluid into the hospital for more than a month. 7 months ago, there is no incentive vaginal bleeding fluid, no rotten meat-like and blister-like tissue discharge, no cough, hemoptysis. 5 days before admission in the hospital line diagnostic curettage, pathological diagnosis of endometrial adenocarcinoma. Patients 19 years old married, 5 pregnant 5, 26 years before the last pregnancy, full-term delivery. No history of mole. Physical examination: the general situation is good, anemia, superficial lymph nodes without swelling. Cardiopulmonary auscultation normal. Abdomen soft, full no tenderness and rebound tenderness, liver and spleen not touched, no mobility dullness. Gynecological examination: vulvar production type, vaginal patency, smooth cervical atrophy, a small amount of bloody discharge, uterine body position, such as 3-month-old pregnant size, soft, activities, bilateral no palpable mass. Urine HCG test negative. Probable endometrial cancer in the line 5 days after admission full