论文部分内容阅读
绒毛膜癌是原发于子宫的绒毛膜恶性肿瘤,并可转移其他各部位.而原发于子宫以外的绒毛膜癌称为异位绒癌,甚为少见.异位绒癌主要好发部位是输卵管和卵巢,而原发于子宫直肠窝者尚未见报道,我院曾遇到2例现报道如下.例1.患者25岁,未婚,住院号24016.肛门坠感,全身乏力2个月,下腹包块月余于1990年4月26日入院.既往月经规律,末次月经3月17日。近两个月来厌食、恶心、全身乏力伴有肛门坠感,且逐渐加重但无腹痛,大便正常.入院前曾用中药治疗,不但未见好转且不能进食,里急后重,排水样便,排尿困难.查体:T36℃,P120次/分,Bp13.3/6.62kPa,贫血貌,脐耻之间可触及亚新生儿头略硬之肿物,腹水征(-).妇科检查:宫体、双附件正常,子宫后方触及亚新生儿
Choriocarcinoma is the primary uterine choriocarcinoma and metastasis of other parts of the primary uterine chorionic cancer is called heterogenous choriocarcinoma is very rare. Is the fallopian tube and ovary, and the primary in the uterus rectum has not been reported in the nest, our hospital has encountered two cases are reported as follows.Example 1. Patient 25 years old, unmarried, hospital number 24016. Anus fall, generalized 2 months , Lower abdominal mass in more than a month in April 26, 1990 admitted to the past menstrual regularity, the last menstrual March 17. Anorexia, nausea and malaise in the past two months accompanied by falling anus and gradually aggravated but no abdominal pain and normal stools. Before admission, treatment with Chinese herbs not only failed to improve but also failed to eat, tenesmus, drainage and dysuria Examination: T36 ℃, P120 beats / min, Bp13.3 / 6.62kPa, anemic appearance, between the umbilical shame can reach the head of the neonate’s head slightly harder tumor, ascites sign (-). Gynecological examination: Double attachment is normal, hysteric reach the neonate