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患女18岁,未婚,初中肄业,待业。主诉外阴肿物生长快,伴搔痒、疼痛半年。患者出生生活于某矿区。月经((3—5)/(30—90))天,LMP:1990年2月15日。于14岁开始性生活。不洁性交始于1989年5月,同时有多个性侣。10月发现外阴如黄豆大肿物2处、无痒、无痛。曾用红霉素软膏外涂后消失。于11月外阴再次发现肿物,初始无痒,无痛。1990年3月间出现搔痒、疼痛,并迅速长大。近月余行走不便,并白带增多,有臭味。检查:一般情况良好,心肺(-),肝脾(-)。妇科检查:双侧大阴唇巨大肿物,呈菜花样,表面粗糙,呈红色,有污灰色渗出物,散发恶臭味,质脆,易出血,触痛明显。大腿内侧皮肤片状湿疹,伴有数个小面积溃
18-year-old suffering from women, unmarried, junior high school industry, unemployed. Chief complaint of the rapid growth of vulvar tumor, with itching, pain for six months. The patient was born in a mining area. Menstrual ((3-5) / (30-90)) days, LMP: February 15, 1990. At the age of 14 began sex life. Unclean intercourse began in May 1989, at the same time there are multiple sexual partners. In October found that the vulva, such as soybeans 2, no itching, no pain. Erythromycin ointment was used after the coating disappeared. Found again in November the vulva mass, no initial itching, no pain. Itching, pain, and rapid growth occurred in March 1990. In recent months more than walking inconvenience, and increased leucorrhea, smell. Check: generally good, cardiopulmonary (-), liver and spleen (-). Gynecological examination: bilateral labia majora huge tumor, was cauliflower, rough surface, red, gray dirt exudate, stench, crisp, easy bleeding, tenderness significantly. Inner thigh skin eczema, accompanied by several small area ulceration