例一魏××,25岁,因闭经7~+月,25天前突然阴道大量流血,5天前又有流血伴畏寒、高热,经外院拟诊“流产”,于1980月10月18日转来我院就医。妇科检查:宫底脐上二指,胎位左枕前,胎心好。阴道前壁距尿道外口约3厘米处有一核桃大小暗红结节,有两处约黄豆大小破溃伴小量活动性出血,阴道后壁5点,距外阴口约3～4厘米处有同样大小囊肿。入院后,因阴道结节破溃感染、败血症,经用抗生素治疗体温仍持续39～40℃,呼吸急促,听诊右肺底湿罗音,加用激素治疗,入院后4天体温逐渐下降。入院第5天突然左胸剧烈疼痛,听诊左肺呼吸音几乎消失,疑诊绒癌伴阴道肺部转移,检查小便乳胶试验阳性,肺部摄片有绒癌肺部转移病灶,入院第12天于局麻下切除阴道前壁结节,病理证实为阴道转移性绒癌,患者经少量输血后用更生霉素,6-MP,5-Fu三联序 A case of Wei × ×, 25 years old, due to amenorrhea 7 ~ + months, 25 days before a sudden massive vaginal bleeding, 5 days ago there was bleeding with chills, fever, the proposed outpatient “abortion” in 1980 October 18 Day transfer to our hospital for medical treatment. Gynecological examination: the uterus at the end of the second finger, left fetal position before the pillow, good fetal heart. Vaginal anterior wall of the urethra about 3 cm at the size of a dark red nodules of walnuts, there are two about the size of soybean ulceration with a small amount of active bleeding, 5 after the vaginal wall, about 3 to 4 cm away from the genitals The same size cysts. After admission, due to vaginal tubal ulceration ulcer infection, sepsis, the treatment of body temperature with antibiotics continued to 39 ~ 40 ℃, shortness of breath, auscultation right lung bottom rales, plus hormone therapy, 4 days after admission, body temperature decreased. Day 5 admitted suddenly severe pain in the left chest, auscultation of the left lung breath sounds almost disappeared, suspicion of choriocarcinoma with vaginal lung metastases, urine test positive for latex test, lung cancer lung metastasis of lung radiography, admission 12 days In the local anesthesia to remove the anterior vaginal wall nodules, pathology confirmed as vaginal metastatic choriocarcinoma, the patient after a small amount of blood with dactinomycin, 6-MP, 5-Fu triple sequence