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患者女,48岁,因“外阴肿物进行性增长1年”于2013年12月收入院。患者于2013年发现左侧大阴唇1cm×1cm无痛肿物,肿物进行性生长,摩擦感明显,无红肿及溃疡。查体:左侧大阴唇下1/3近会阴后联合处肿物,大小8cm×5cm×5cm,实性,质软,边界清,无压痛,局部皮肤无红肿、溃疡及色素减退。盆腔MRI:左侧大阴唇见一梭形占位,大小2cm 5×5.8cm×3.1cm,T1W1为稍低信号,T2W1为高信号,表面弥散系数(ADC)值1.895~1.978×10~(-3) mm~2/s,考虑为前庭大腺囊肿。患者2010年因“子宫肌瘤”在外院行开腹次全子宫切除术。足
Female patient, 48 years old, due to “Sexual growth of vulvar mass 1 year ” In December 2013 income hospital. Patients in 2013 found the labia majora 1cm × 1cm painless mass, tumor growth, significant friction, no swelling and ulcers. Physical examination: the left labia majora under the 1/3 near the perineum combined with the tumor, the size of 8cm × 5cm × 5cm, solid, soft, clear boundary, no tenderness, local skin without swelling, ulcers and hypopigmentation. Pelvic MRI: A fusiform space occupying 2 cm 5 × 5.8 cm × 3.1 cm was observed in the labia majora on the left. T1W1 was a slightly lower signal and T2W1 was a high signal with a surface diffusion coefficient (ADC) of 1.895-1.978 × 10 ~ (- 3) mm ~ 2 / s, consider the vestibular gland cyst. Patients 2010 due to “uterine fibroids ” in the hospital line open hysterectomy hysterectomy. foot