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患者冯某,65岁,绝经12年,阴道间断性点滴流血4个月。经服中药治疗无效,来本科求治。经门诊检查疑诊子宫内膜癌,于1989年11月1日收住院。患者平素身体健康,20岁结婚,孕4产4。末次分娩30岁,为横位,作碎胎术,后未再孕。查体:体温、脉搏、呼吸均正常,血压17.3/13.3kPa。一般情况好,自由体位,头颈无异常。全身表浅淋巴结无肿大,心肺无异常。腹部平坦,肝脾未及。下腹软,无明显包块可触及,神经系统无异常。外阴老年型,阴道粘膜尚正常,阴道内有少量淡红色分泌物,子宫颈光滑,子宫体前位稍小,双附件未触及明显包块,无压痛。阴道涂片:未发现癌细胞。诊断性刮宫:病理报告,子宫内膜呈炎性反应。各项化验均正常;初步诊断:子宫内膜癌。
Fengmou patients, 65 years old, 12 years of menopause, intermittent vaginal bleeding for 4 months. After serving Chinese medicine invalid, to undergraduate seeking treatment. The clinic examination of suspected endometrial cancer, on November 1, 1989 admitted to hospital. Patients usually healthy, 20-year-old married, pregnant 4 4. The last delivery of 30-year-old, horizontal, for torn rupture, after no pregnancy. Physical examination: body temperature, pulse, respiration are normal, blood pressure 17.3 / 13.3kPa. Generally good, free posture, no abnormalities in the head and neck. Whole body superficial lymph nodes without swelling, no abnormal heart and lungs. Abdomen flat, liver and spleen not yet. Lower abdominal soft, no obvious mass can be touched, the nervous system without exception. Vulvar elderly, vaginal mucosa is still normal, a small amount of vaginal secretions of light red, smooth cervix, uterine anterior slightly smaller, double attachment did not reach the obvious mass, no tenderness. Vaginal smear: No cancer cells found. Diagnostic curettage: pathological report, the endometrium was inflammatory reaction. The tests were normal; initial diagnosis: endometrial cancer.