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患者女,25岁,已婚,因接触性阴道出血两个月,于1986年3月就诊。一般情况好,无贫血貌,两锁骨上窝未触及肿大淋巴结,心肺正常,肝脾未扪及,全腹无压痛,未扪及肿块。妇科检查:外阴发育良好,阴道壁光滑,宫颈呈结节状,易出血,宫体略增大,质硬,活动度差,左侧附件阴性,右侧可扪及4×3×3cm质偏硬肿块,光滑可推动,两侧宫旁明显增厚达盆壁。临床诊断为宫颈癌Ⅲ期b,结节型,右卵巢转移。病理诊断:宫颈低分化粘液腺癌(部份印戒细胞型)追问无胃肠道病史。胃镜检查及活检,病理诊断为胃体部低分化粘液腺癌(印戒细胞癌)。最后确诊为“胃癌宫颈转移”。经姑息性放疗加化疗后三个月死亡。
Female patient, 25 years old, married, two months due to contact vaginal bleeding, in March 1986 treatment. In general, no anemia appearance, the two supraclavicular fossa did not touch the enlarged lymph nodes, normal heart and lungs, liver and spleen not palpable, the whole abdomen without tenderness, no palpable mass. Gynecological examination: vulva well-developed, smooth vaginal wall, cervical nodular, hemorrhage, palace slightly increased, hard, poor activity, left attachment negative, right palpable and 4 × 3 × 3cm mass partial Hard lumps, smooth and can promote, significantly thickening of the pelvis on both sides of the palace. Clinical diagnosis of cervical cancer Ⅲ b, nodular, right ovarian metastasis. Pathological diagnosis: cervical poorly differentiated mucinous adenocarcinoma (some signet ring cell type) asked no history of gastrointestinal tract. Gastroscopy and biopsy, pathological diagnosis of poorly differentiated gastric mucosa adenocarcinoma (signet ring cell carcinoma). Finally diagnosed as “gastric cancer cervical metastasis.” After palliative radiotherapy plus chemotherapy died three months later.