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一、病例摘要患者35岁,主因“停经2个月余,下腹痛、发热1个月余,病理诊断子宫颈癌10d”于2013年8月19日收入院。患者每年参加单位妇科体检未见异常,半月前“以闭经2个月,下腹痛、发热7d”于外院就诊。TCT结果未见异常;B超示宫腔内有积液;行分段诊刮术。病理报告:子宫颈、宫颈管及子宫腔内均可见高分化腺癌,不除外微偏腺癌可能。免疫组化:子宫颈管:CK(+),Vimentin部分阳性。子宫颈:CEA(+),p16个别腺体阳性,ER(-),Ki-67(+)20%。子宫腔:CEA部分阳性,ER(-)。特殊染色AB-PAS(+)。就诊期间发热、下腹痛,
First, the case summary of 35-year-old patients, mainly due to “menopause more than 2 months, lower abdominal pain, fever more than 1 month, pathological diagnosis of cervical cancer 10d ” on August 19, 2013 income hospital. Patients attending gynecological examination every year, no abnormalities, a half months ago, “to amenorrhea for 2 months, abdominal pain, fever 7d ” in the hospital. TCT results no abnormalities; B ultrasound showed intrauterine effusion; line sub-curettage. Pathology report: The cervix, cervix and uterine cavity can be seen in high differentiated adenocarcinoma, not except micro-adenocarcinoma may be. Immunohistochemistry: cervical canal: CK (+), Vimentin partially positive. Cervical: CEA (+), p16 individual gland positive, ER (-), Ki-67 (+) 20%. Uterine cavity: CEA partially positive, ER (-). Special staining AB-PAS (+). During treatment fever, lower abdominal pain,