患者女,32岁。因婚后9年未孕,阴道不规则出血20余天而入院,既往月经规律,无月经量增多、经期延长及痛经病史。入院时查:一般情况良好,浅表淋巴结不大,心、肺、肝、脾未见异常。腹部可触及一实性肿物,上至剑突下至耻骨联合,形状不规则,叩诊实音。妇科检查:宫颈光滑,盆腔可触及一 Female patient, 32 years old. Nine years because of marriage is not pregnant, vaginal irregular bleeding more than 20 days and admitted to the past, menstrual regularity, no increase in menstrual flow, menstrual period and history of dysmenorrhea. Check on admission: generally good, superficial lymph nodes, heart, lung, liver and spleen no abnormalities. The abdomen can reach a solid tumor, from the xiphoid to the pubic symphysis, irregular shape, percussion real sound. Gynecological examination: Cervical smooth, pelvic palpable one