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阴道腺癌是一种少见的恶性肿瘤,现报告一例双子宫合并阴道透明细胞癌如下。患者女性,30岁。因接触性阴道流血就诊。体检:一般情况尚好,外阴经产式,阴道后壁中上1/3交界处有一3cm×2cm大小结节,触之易出血。宫颈正常。活检病理诊断:腺癌。入院行子宫广泛切除加盆腔淋巴清扫术。手术所见:双子宫均属正常大小,但右大于左,肿瘤3cm×2cm,位于阴道后壁中上1/3交界处,双侧附件未见异常,盆腔各组淋巴结轻度肿大。大体标本检查:双子宫分别为4cm×5cm×3cm、3cm×2cm×2cm,带部分阴道壁,肿物(溃疡结节)距阴道壁切缘2cm,距宫颈1cm,肿物2cm×1.5cm,切面灰白,质脆,稍硬,与周围界限尚清,未累及宫颈。切开两宫体,内膜光滑,其它未见异常。另有送检盆腔各组淋巴结共12个,大的直径1cm,小的直径0.3cm。镜下见瘤细胞排列呈腺管状、乳头状、实体状及囊状,细胞胞质透明,核深染,异
Vaginal adenocarcinoma is a rare malignant tumor, now report a case of double uterine vaginal clear cell carcinoma is as follows. Patient female, 30 years old. Due to contact vaginal bleeding treatment. Physical examination: the general situation is good, genitourinary production, vaginal posterior wall at the junction of a 3cm × 2cm size nodules, touch the easy bleeding. Cervical normal. Biopsy pathological diagnosis: adenocarcinoma. Hospitals wide excision of the uterus plus pelvic lymphadenectomy. Surgical findings: the double uterus are normal size, but the right is greater than the left, the tumor 3cm × 2cm, located in the vaginal posterior wall in the upper 1/3 junction, no abnormal bilateral attachment, pelvic lymph nodes of each group slightly enlarged. General specimen examination: double uterus were 4cm × 5cm × 3cm, 3cm × 2cm × 2cm, with part of the vaginal wall, tumor (ulcer nodules) from the vaginal wall cut edge 2cm, from the cervix 1cm, tumor 2cm × 1.5cm, Section gray, crisp, slightly harder, with clear boundaries around, did not affect the cervix. Cut the Liang Gong body, the lining is smooth, the other without exception. In addition, pelvic lymphadenectomy in all 12, a large diameter of 1cm, a small diameter of 0.3cm. Microscopic see tumor cells were arranged in the glandular tube, papillary, solid and cystic, cell cytoplasm transparent, deep-stained nuclear, different