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患者46岁,因不规则阴道流血三年,下腹部包块一年余,于1981年7月20日入院。半年来,肿物增长迅速,伴有尿频、尿急、排便不畅。近三个月,下腹胀疼,日渐消瘦。既往健康、月经规律,量中等,伴有少许血块,行经期有痛经症状。20岁结婚,未曾怀孕。查体:发育正常,轻度贫血外貌。腹软,下腹部可触及一肿物,如同妊娠五个月大小,活
The patient, 46, was admitted to hospital on July 20, 1981 because of irregular vaginal bleeding for more than three years and the lower abdomen for more than a year. Six months, the rapid growth of the tumor, accompanied by urinary frequency, urgency, defecation poor. Nearly three months, lower abdominal pain, getting thinner. Past health, regular menstruation, the amount of medium, accompanied by a small blood clot, dysmenorrhea menstrual symptoms. 20-year-old married, never pregnant. Physical examination: normal development, mild anemia appearance. Abdomen soft, lower abdomen touches a mass, as the size of five months of pregnancy, live