杜某,26岁,农民。停经40天时,双乳房开始增大,近2月增长迅速,伴难以忍受的持续性胀痛,坐、立位时疼痛加重,平卧时减轻。体格检查:双侧乳房平脐,长24cm,周径均为51cm,皮肤增厚,下部皮肤潮红,呈桔皮状,局部温度高,无波动感,双腋下淋巴结无肿大。妇科检 Dumou, 26, farmer. 40 days after menopause, the double breast began to increase, the rapid growth in recent February, with unbearable persistent pain, sitting, standing pain worse, reduce supine. Physical examination: bilateral umbilical flat uterus, length 24cm, circumference are 51cm, thickening of the skin, the lower part of the skin flushing, orange-peel, local temperature, no fluctuations in the sense of double axillary lymph nodes without swelling. Gynecological examination