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患者,女,63岁,农民。绝经15年阴道不规则流血半年余,于1983年9月12日来我院妇科,孕5产5,48岁绝经。全身一般检查无异常。妇科情况:外阴萎缩,子宫颈7点处有一带菜肿物,约3×3×2cm,蒂长约0.5cm,暗红色,表面粗糙,点状溃疡,有接触性出血。子宫略小,活动尚可,附件未见异常。诊断为“宫颈息肉”。即行“息肉”切除术,根部电烧灼。术后愈合良好,未作化疗。术后3个月随访检查,肉眼未见肿物复发。 镜检(病理号83-999):送检材料实质由园形或椭园形细胞构成管状结构。内衬有不规则的立方形细胞,细胞核有间变,有的细胞核突入腔内似鞋钉状,高低不一,深染。病理诊断:子宫颈中肾管腺癌。
Patient, female, 63 years old, farmer. In the 15 years of menopause, irregular vaginal bleeding took more than half a year. She came to our department of gynecology on September 12th, 1983. Her pregnancy was 5,48 years old. General examination of the body is normal. Gynecological conditions: atrophy of the vulva, there is a vegetable tumor at 7 o’clock in the cervix, about 3 × 3 × 2cm, pedicle length of about 0.5cm, dark red, rough surface, spot ulcers, contact bleeding. The uterus is slightly smaller, activities are acceptable, and attachments are not abnormal. Diagnosis is “cervical polyps.” That is, “polypectomy” was performed and the roots were electrically cauterized. Healed well after surgery without chemotherapy. After 3 months of follow-up examination, no tumor recurrence was observed with the naked eye. Microscopic examination (pathological number 83-999): The examination material is essentially a tubular structure consisting of round or oval cells. Lined with irregular cubic cells, the nucleus is interspersed, and some of the nucleus protrudes into the cavity like spikes, varying in height and depth. Pathological diagnosis: renal tubular adenocarcinoma in the cervix.