1 case of cervical cancer middle pregnancy.docVIP

 PAGE \* MERGEFORMAT 4 1 case of cervical cancer middle pregnancy [Keywords:] mid-trimester pregnancy, cervical cancer A medical record Patients, aged 40, for “5 more than a month menopause, irregular vaginal bleeding 3 months, increased 1 day” was at 19:30 on March 19, 2008 emergency hospital. Patients usually menstrual regularity, 3 ~ 4 / 30 d , the volume, the dysmenorrhea (-, no irregular bleeding, and contact bleeding, the last menstrual period October 12, 2007. trimester mild nausea, vomiting, and other early response, in January 2008 that stopped after nearly 12 weeks, no obvious incentive irregular vaginal bleeding, bright red, less has dripping like, improved after the break, out-patient ultrasound examinations showed: pregnancy, embryonic development is good. the patient declines the appointment checks. about 15 days of vaginal bleeding symptoms have increased, fluctuating blood less menstrual blood proliferate approximate amount of blood today because of the amount over the period of emergency admission. ultrasonography after admission showed: single fetus with intrauterine pregnancy, the placenta normal position, cervical area increases. the patient examination: normal vulva, vagina smooth, blood (+++, cervical hypertrophy, can be seen before the lip about the size of 4 cm × 5 cm red growths, cauliflower-like, dark red, uneven surface, contact bleeding (+. no invasion and vaginal wall. hysterectomy 5 months pregnant size, quality, activities benign uterine tissue untouched obvious abnormality, abnormal double annex areas untouched. digital rectal examination, mucosal smooth, no bloody mucus. colposcopy examination revealed: anterior lip of cervix neoplasm, crisp, easy bleeding , acetic acid test indicated that the thickness of vinegar, white epithelium, showing that shaped blood vessels, while taking cervical biopsy sent to pathology, gauze to stop bleeding. were previously healthy and denied history of chronic diseases, pregnant 4 producti