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患者女性,63岁。绝经10余年,阴道不规则出血半年。妇检:宫颈增粗,4 cm×4 cm大小,表面有溃疡,接触性出血。B超示宫颈占位,恶性肿瘤可能。CT示宫颈部软组织增厚,局部密度稍减低,大小3.2 cm×2.6 cm,增强后不均匀强化,后腹膜、盆腔未见明显肿大淋巴结阴影。行全子宫+双附件切除+盆腔淋巴结清扫术。病理检查巨检:全子宫及双侧附件标本,子宫4.5 cm×4 cm×2.8 cm大小,宫颈略呈桶状,增粗,4 cm×4 cm×4
Patient female, 63 years old. Menopause more than 10 years, irregular vaginal bleeding for six months. Gynecological examination: Cervical thickening, 4 cm × 4 cm in size, ulceration on the surface, contact bleeding. B ultrasound shows cervical mass, malignant tumors may. CT showed cervix soft tissue thickening, a slight reduction in local density, the size of 3.2 cm × 2.6 cm, after enhanced heterogeneous enhancement, retroperitoneal, pelvic lymph node shadow was not significantly enlarged. Line full uterus + double attachment removal + pelvic lymph node dissection. Pathological examination of macroscopic examination: whole uterus and bilateral annex specimens, the uterus 4.5 cm × 4 cm × 2.8 cm size, the cervix slightly barrel-shaped, thick, 4 cm × 4 cm × 4