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Today we're going to start with a story about tangled virgin membranes... Let's do it! No, I don't want to be a little girl. Does it hurt? Doctor, I'm scared! You can't do this, you can be all hemp! I... I have not yet... Haven't been in the same room yet... This is a 24-year-old, unmarried and infertile, with no history of sex.
girl has been tangled, is it able to do laparoscopy? For the first time, refusing laparoscopy at the end of 2018, the girl came to see a doctor because of a menstrual disorder, and the doctor gave her a B-super.
B super tip: the inner membrane thickness of 4mm, the urinal cavity in the high echo 9 x 8 x 4mm, color blood flow is not obvious, the lower part of the urinal cavity low echo 20 x 14 x 9mm, colored blood meteor dot.
cervix length of 29mm.
means that there is not only a position, but even blood flow.
in accordance with the general rules, it is best to do laparoscopy, endometrial pathology examination.
the girl because there is no history of sex, refused, the doctor is very upset, confessed that she must come to review.
, refused laparoscopy in early 2019, and the girl finally had a B-super-review after menstruation was clean.
B super tip: the inner membrane is 7mm thick, the echo is not equal.
since B super prompts the endometrial is not equal, either laparoscopy, or to take hormone drugs, let the endometrium completely peel off and then take a closer look.
but the girl felt that since she did not see the urinal cavity occupied, holding the "disease will not find me" lucky psychology, did not do laparoscopy and did not take medication review.
third time, the cancer changed until October 2020, when the girl was again treated for menstrual disorders.
B super tip: inner membrane thickness of 11mm, the uterine cavity high echo region 15 x 8 x 8mm, cervical length: 54mm, cervical tube in the low and medium echo area 54 x 47 x 41mm, rich color blood flow.
MRI tip: the endocardial signal at the bottom of the uterine cavity is not equal, irregular lumps in the lower part of the uterine cavity, protruding cervical tubes, considering the endometrial malignancies, accompanied by the back wall muscle level cervical interstitial mass can not be affected except.
this also means that the occupied position in the urinal cavity is most likely malignant.
you want to know how big the lump is? Look at the picture.
Girl this hastened to do a full hemp under the urinal laparoscopy, because the whole hemp is relatively relaxed, and the use of small lenses, and did not use a vasomizer, so the girl's virgin membrane is completely unspoy.
fact, even if the virgin membrane has damage, the operation can be done in time to repair.
but the postoperative pathology is like a sunny day: endometrial cancer.
and is likely to have soaked the muscle layer, and there is no chance of childcare.
for the so-called virgin membrane, the girl regretted, why not after the warning signal again and again to do the examination? Endometrial cancer signal is actually obvious 1, abnormal uterine bleeding in fact, more than 80% of endometrial cancer have pre-abnormal uterine bleeding, or menstrual disorders, or old red.
even young women, if more than 3 months of continuous menstrual disorders, must be timely medical treatment, the examination to do hasten to do! 2, endometrial unethic is the late menstruation, due to the reaction of the secretion period, the endometrial natural thickening, "soil" become fertile, when the endometrial unethic or under-average generally meaningless.
and menstruation a clean, the inner membrane just peeled off, if the thickness of the inner membrane at this time is greater than 7mm, suggest that the endometrial is not equal or under-average, be careful! 3, the urinal cavity is the bulging of the urinal cavity, benign, common endometrial dipherma, but it may also be the endometrial lesions caused by excessive growth of the endometrium, such as endometrial atypical growth or endometrial cancer.
if menstrual clean still exists, further urinal biopsy is needed! 4, abnormal vaginal discharge endometrial cancer, especially in the late stage, combined with the case of infection, not only a large number of discharge, but also that discharge is accompanied by a bad odor.
do you like to make friends with for endometrial cancer? (1) Have a family history of endometrial cancer, colorectal cancer (2) have a history of multiple cystic ovary syndrome (3) have a history of obesity, diabetes, hypertension and other diseases when there are above signs of distress or high-risk conditions, if the doctor recommends endometrial biopsy, even if there is no history of sexual life of the little girl, do not hesitate, do not be afraid, the operation should be done.
, the health of the inner membrane is more important than that of virgin membranes! Obstetrics and Gynecology Online Source: Obstetrics and Gynecology Online Copyright Notice: All text, images and audio and video materials on this website that indicate "Source: Met Medical" or "Source: MedSci Original" are owned by Metz Medicine and may not be reproduced by any media, website or individual without authorization, and shall be reproduced with the words "Source: Mets Medicine".
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