论文部分内容阅读
患者 女,59岁。因绝经13年,阴道少量出血2~+月,疑子宫内膜腺癌,于1995年8月31日住我院。结婚34年,末孕,月经规律。人院后查体:血压25/14kPa,脉搏80次/分,体温37.5℃。全身状况良好,无异常发现。妇科检查:阴道通畅,宫颈光滑,子宫前倾,如孕40天大小,左附件触及鸭卵大肿物。术前诊断:子宫内膜癌并左侧卵巢畸胎瘤。于1995年9月8日行全子宫及双侧附件切除术。术后大体病理检查:左侧卵巢囊肿呈卵圆形,9cm×8cm×7cm大小,表面光滑,囊壁薄而均匀,囊内充满灰白色豆渣样物(图1)。子宫内膜厚0.2cm,无隆起,右侧
Female patient, 59 years old. 13 years because of menopause, a small amount of vaginal bleeding 2 ~ + month, suspected endometrial adenocarcinoma, in August 31, 1995 to live in our hospital. 34 years of marriage, the end of pregnancy, menstrual regularity. After hospital admission examination: blood pressure 25 / 14kPa, pulse 80 beats / min, body temperature 37.5 ℃. The whole body in good condition, no abnormalities found. Gynecological examination: vaginal patency, smooth cervix, uterine anteversion, such as the size of 40 days of pregnancy, the left attachment touches duck eggs large tumor. Preoperative diagnosis: endometrial cancer and left ovarian teratoma. On September 8, 1995 the whole hysterectomy and bilateral attachment resection. Postoperative gross pathological examination: ovarian cysts on the left was oval, 9cm × 8cm × 7cm size, smooth surface, thin and uniform wall, the capsule filled with gray white residue sample (Figure 1). Endometrial thickness 0.2cm, no uplift, right