46岁,因外阴肿块4年入院。4年前发现右侧外阴部长一芝麻大之小结,痒而不痛。患者经常用手抓。肿块逐渐增大。近三个多月来增长较快,痒感加重,抓后疼痛,同时伴以胀感,肿块溃烂、流 臭水、不能劳动、行走困难,伴发热及全身不适。 体查:右侧大阴唇下段有肿块10×8×6cm大,蒂长4cm,拇指粗,其表面可见数根曲张血管。 46 years old, 4 years because of vulvar mass hospitalization. 4 years ago found that the right genitals big sesame large summary, itch without pain. Patients are often caught by hand. Mass gradually increased. Nearly three months to grow faster, itching increased, pain after the arrest, accompanied by swelling, lumps of ulceration, smelly water, can not work, walking difficulties, with fever and general malaise. Physical examination: the lower right anterior labial large lumps have 10 × 8 × 6cm large, pedicle length 4cm, thumb thick, the surface can be seen several pieces of varicose veins.