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60岁,绝径10年,阴道溢液8年,接触性出血2年。近期阴道流水加重,呈洗肉水样,伴尿频尿灼及会阴坠胀感,食欲不振,渐消瘦,于1988年8月6日以子宫颈癌入院。生产史:G_3P_2A_1L_3。妇科检查:阴道左上后穹隆消失,结节感,质硬。宫颈质地硬,触血(+),宫颈前壁呈空洞状。于硬膜下行宫颈癌根治术,术中发现患者为单宫颈双子宫,左输尿管缺如,为防误伤,术中探查膀胱,未见左输尿管开口,亦未见左侧肾脏。术后行静脉尿道造影,左侧肾脏及输尿管未见显影。病理诊断:①子宫颈中分化鳞状细胞癌,在髂窝淋巴结转移;
60 years old, diameter 10 years, 8 years of vaginal discharge, contact bleeding 2 years. Recent vaginal water aggravated, was washed with water samples, with frequent urination and perineal bulging urinary bladder flu, loss of appetite, weight loss, on August 6, 1988 to cervical cancer hospitalization. Production history: G_3P_2A_1L_3. Gynecological examination: vaginal left vaginal vault disappeared, nodular feeling, hard. Cervical hard, blood-contact (+), cervical cavity was hollow. In the subdural cervical cancer radical surgery, intraoperative findings of patients with single cervical double uterus, left ureter absent, to prevent injury, intraoperative exploration of the bladder, no left ureteral orifice, and no left kidney. Postoperative intravenous urethrography, left kidney and ureter no visualization. Pathological diagnosis: ① cervical differentiated squamous cell carcinoma, lymph node metastasis in the iliac fossa;