Misdiagnosis of uterine fibroids on the combined functionality of cervical bleeding in 1 case.doc

 PAGE \* MERGEFORMAT 4 Misdiagnosis of uterine fibroids on the combined functionality of cervical bleeding in 1 case [Keywords:] uterine fibroids; cervical cancer; functional bleeding 1 Case information Patients, female, 48 years old. G2P1 1 times the normal production, past a more regular menstruation, 14.4 5 / 30 type, medium, dysmenorrhea (+), 2 more than a month because of vaginal bleeding, heavy feeling lower abdomen in City a hospital for treatment, B-Tip: anterior uterus, Palace size 6.2cm × 5.5cm × 4.4cm were normal, myometrial hypoechoic see 4.7cm × 3.3cm, border less clear than real echo uniform, the thickness Echo Medium 0.7cm clear, endometrial center, see the IUD intrauterine echo, normal position, cervical thickness 3.2cm, bilateral ovarian display unclear. B super Results: uterine fibroids, cervical hypertrophy, intrauterine ring. Functional bleeding with intrauterine inflammation has rings, such as Integrative Medicine bleeding 2 months after the reduction of vaginal bleeding, but still continued to pour Lek site visits. Examination: General condition is acceptable appearance with mild anemia, T 36.7 ℃, P 88 times / min, BP 90/60mmHg. cardiac auscultation heart rate 90 beats / min, heart sounds pure, the whole law, lungs breath sounds clear. gynecologic examination: Married by the middle of vulva, vaginal patency, vaginal coffee like discharge, cervical appearance of cauliflower and shows a hemorrhagic cyst about 2.0cm × 3.0cm, pedicle in the neck, the touch of bleeding, triple checkups: anterior uterus, abnormal large, hard surface less smooth, tenderness (+), give priority cervical pain (+), annex area and pelvic tenderness (+). B super: anterior uterus, Palace size 6.3cm × 5.8cm × 4.9cm, shape due to rule on the posterior wall of the uterus See 5.1cm × 4.2cm myometrial hyperechoic, ill-defined, the thickness of 1.0cm, a clear echo, echo IUD intrauterine see, the position is slightly lower, the lower uterine segment saw a strong echo