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子宫颈腺样基底细胞癌合并鳞癌与内膜鳞癌1例 被引量:3

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摘要 患者女性,71岁,绝经20年,不规则阴道出血、排液3年。既往月经规律,3年前无明显诱因出现阴道出血、排脓性液。近1个月,患者阴道脓性分泌物逐渐增多。B超示子宫腔内有大小2.7 cm×2.7 cm×1.8 cm的液性暗区,内可见密集点状回声及絮状回声;子宫颈处有一大小2.2 cm×2.1 cm×2.3 cm的低回声区,形状欠规则,边界欠清,内可见丰富血流信号。体检:子宫颈萎缩,中度糜烂,前穹窿、后穹窿消失。HPV检测示:HPV16阳性。子宫颈TCT检测示疑浸润癌的高度鳞状细胞病变。子宫颈活检示:(1)(子宫颈6点、12点):少量黏膜组织重度慢性炎症,表面上皮缺失,间质散在异型上皮细胞团,不除外浸润癌。(2)(子宫颈10点、1点远端):黏膜重度慢性炎症,鳞状上皮增生伴挖空细胞,局部高级别鳞状上皮内病变(high-grade squamous intraepithelial leison, HSIL)(CINⅢ级)。于2016年4月22日入院,2天后在全麻下行全子宫+双侧附件+腹腔淋巴结清扫术。
出处 《临床与实验病理学杂志》 CAS CSCD 北大核心 2019年第8期999-1001,共3页 Chinese Journal of Clinical and Experimental Pathology
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