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患者,女,60岁。因下腹部肿块伴腹痛4个月于1986年2月18日入院。患者6年前因宫颈癌Ⅱb期(病理报告:宫颈鳞状细胞癌Ⅱ级)行~(60)Co全盆外照+腔内放疗,放疗后一般情况好,随访6年未见复发。体检:一般情况差,轻度贫血貌,心肺(一),下腹正中触及肿块.腹水征阳性,妇检:外阴正常,阴道狭窄,上段闭锁,宫颈未窥及,宫体增大如孕3个月,质硬,固定,两侧宫旁增厚达盆壁,Douglas凹可触及肿块。于3月8日行剖腹探查术,见血性腹水约1500ml。腹腔探查:大网腹充血并见多个小结节,子宫增大如3个月,表面光滑,子宫后
Patient, female, 60 years old. Due to abdominal mass with abdominal pain for 4 months in February 18, 1986 admission. Six years ago, the patients underwent radiotherapy for cervical cancer Ⅱb (pathological report: squamous cell carcinoma of grade Ⅱ) and radiotherapy of ~ (60) Co. Physical examination: poor general condition, mild anemia, cardiopulmonary (a), lower abdomen touched the mass in the middle. Ascites sign positive, women: normal vulva, vaginal stenosis, the upper block, the cervix did not peep, Month, hard, fixed, on both sides of the palace thickening of the pelvic wall, Douglas concave palpable mass. On March 8 laparotomy, see bloody ascites about 1500ml. Abdominal exploration: large abdominal congestion and see a number of small nodules, uterine enlargement such as 3 months, the surface smooth, uterus