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患者,女,20岁,未婚。无性生活史。因经期延长伴阴道不规则出血3年,来院就诊。查体:重度贫血貌,心肺听诊无殊。妇检:外阴、处女膜完整,未作内诊。遂行B超检查,腹部超声+直肠超声示:子宫后位:54mm×36mm×39mm,子宫轮廓清,宫壁回声均匀,内膜居中厚11mm,子宫颈管下段与后穹窿宫颈外口处可见:56mm×44mm×51mm大小,不均质低回声团块,呈不规则长椭圆形,内部回声紊乱(图1)。双侧卵巢形态、大小正常。提示:子宫颈管下段与后穹窿宫颈口处低回声团块(宫颈肿瘤?),经家属签字同意后行阴道妇检:穹窿处见一约60mm×50mm
Patient, female, 20 years old, unmarried. Asexual life history. Due to menstrual prolonged vaginal irregular bleeding for 3 years, to the hospital. Physical examination: severe anemia, cardiopulmonary auscultation without special. Gynecological examination: vulva, hymen intact, not for internal diagnosis. B ultrasound examination, abdominal ultrasound + rectal ultrasound showed: posterior uterine position: 54mm × 36mm × 39mm, uterine clearance, uterine wall echo uniform, medial thickness 11mm, the cervix and the posterior fornix cervix outside the mouth can be seen: 56mm × 44mm × 51mm size, heterogeneous hypoechoic mass, irregular oval, internal echo disorder (Figure 1). Bilateral ovarian morphology, size normal. Tip: lower cervical tubal and posterior fornix cervix at the low echo mass (cervical cancer?), After the consent of family members to undergo vaginal gynecological examination: fornix to see a about 60mm × 50mm