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良性肿瘤行全子宫切除,术后发生宫颈癌者罕见。我院病理科遇见两例,现报道如下: 例1 何××女64岁汉中籍居民患者以下腹坠痛半年,阴道断续出血两个月之主诉就诊。曾在当地医院按术后肠粘连、阴道炎等应用中西药治疗,未见好转。患者既住身体好,于18年前曾因子宫肌瘤行全子宫切除术,术后情况良好。妇科检查:阴道长6厘米,侧壁无阳性所见,阴道顶手术残端左侧见一直径1.5厘米之半球形结节,表面细颗粒状,触之易出血,宫颈结构消失。于肿块边缘取小块组织送病理检查。临床印象:阴道残端炎性肉芽肿。
Hysteroscopic resection of benign tumors, cervical cancer after surgery is rare. My hospital pathology met two cases are reported as follows: Example 1 Ho × × female 64-year-old Han Chinese residents following abdominal pain for six months, intermittent vaginal bleeding for two months, the chief complaint. In the local hospital by postoperative intestinal adhesion, vaginitis and other applications of Western medicine treatment, no improvement. Patients living in both good, 18 years ago, hysterectomy due to uterine fibroids, postoperative good. Gynecological examination: vaginal 6 cm long, no positive sidewall seen, vaginal top left stump see a diameter of 1.5 cm hemispherical nodules, the surface of fine granular, easy to touch the bleeding, cervical structure disappeared. On the edge of the tumor to take small pieces of tissue sent for pathological examination. Clinical impression: Vaginal stump inflammatory granuloma.