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尕项卓玛(青海省西宁市第二人民医院,青海西宁810003)1诊断绒毛膜癌合并肺转移;宫颈转移?急性肺功能衰竭。2诊断依据患者,34岁。该患者在葡萄胎行吸宫术后1+年出现血β-HCG迅速升高,双肺有多发性转移阴影,符合绒毛膜癌的诊断标准。肺部CT检查提示考虑:双肺多发性转移。妇科检查见阴道后穹隆呈紫蓝色;宫颈轻度糜烂、肥大,下唇呈紫蓝色,9点处见一大小约2 mm×4 mm的紫蓝色结节,无举痛、摆动痛;
Time item Dolma (Xining Second People’s Hospital of Qinghai Province, Xining 810003, China) 1 Diagnosis of choriocarcinoma with lung metastasis; cervical metastasis? Acute lung failure. 2 diagnosis based on patients, 34 years old. The patient in the hydatidiform mole 1+ years after the suction aspiration of blood β-HCG increased rapidly, the lungs have multiple metastatic shadow, in line with the diagnostic criteria for choriocarcinoma. Lung CT examination prompted to consider: multiple lung metastases. Vaginal vaginal gynecological examination were purple blue; mild cervical erosion, hypertrophy, the lower lip was purple blue, at 9 o’clock see a size of about 2 mm × 4 mm purple blue nodules, no pain, swing pain ;