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一、病例摘要患者40岁,因体检发现宫颈病变2个月入院。患者平素月经不规律(6~7)天/(1~4)个月,2个月前无症状体检发现宫颈赘生物,TCT:非典型腺细胞,HPV18阳性,阴道镜所见如图1,活检提示分化好的绒毛管状腺癌。近3年患者有燥郁症,无口服避孕药和吸烟史,孕2产0。体格检查:一般情况好,生命体征平稳,浅表淋巴结未及肿大,双肺呼吸音清,心律齐,腹软无压痛,未触及包块,脊柱四肢无异常。妇科检查:外阴已婚未产型;阴道通畅,黏膜光滑;宫颈轻度糜烂样改变,宫颈口可见直径约
First, the summary of patients 40-year-old, cervical lesions found for 2 months due to medical admission. Patients usually irregular menstruation (6 to 7) days / (1 to 4) months, 2 months ago asymptomatic cervical cervical neoplasms, TCT: atypical glandular cells, HPV18 positive colposcopy seen in Figure 1, biopsy Prompt differentiation of villous tubular adenocarcinoma. Nearly 3 years, patients with dry depression, no oral contraceptives and smoking history, 2 pregnant 0. Physical examination: the general situation is good, stable vital signs, superficial lymph nodes swelling, lung breath sounds clear, heart Qi Qi, soft abdominal tenderness, not touched mass, spine limbs without exception. Gynecological examination: genital married unproductive type; vaginal patency, smooth mucosa; cervical mild erosion-like changes in the diameter of the cervix can be seen about