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子宫内膜异位症间质恶变为“淋巴管内间质肌病”是一种罕见的疾病,一般认为仅两个部位的子宫内膜异位可能发展为恶性肿瘤,即卵巢和直肠阴道膈。我院经手术后病理证实一例,现报告如下。患者女,48岁。因月经紊乱半年于1990年3月15日入院。患者既往月经周期正常,近半年来周期缩短为7～10天,经期延长为10余天,经量增多,有血块,并伴有腰及下腹部隐痛。阴道分泌物无明显增多。查体:T36.2℃,P78次/分,R20次/分,BP14/9kpa,下腹正中可们及约妊娠3个月大小包块,边界清,活动度小,无压痛。妇科所见:
Endometriosis of the interstitial malignant change into “lymphatic endodermis disease” is a rare disease, generally considered only two parts of the endometriosis may develop into malignant tumors, namely the ovarian and rectovaginal septum. A hospital confirmed pathology after surgery, are as follows. Female patient, 48 years old. Due to menstrual disorders six months in March 15, 1990 admission. The past menstrual cycle was normal, the cycle shortened to 7 to 10 days in the past six months, menstrual period was extended to more than 10 days, the amount increased, blood clots, accompanied by pain in the waist and lower abdomen. No significant increase in vaginal discharge. Physical examination: T36.2 ℃, P78 beats / min, R20 beats / min, BP14 / 9kpa, abdomen may be around the middle and about 3 months of pregnancy size of the mass, the border clearance, activity is small, no tenderness. Gynecological see: