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患者女性,39岁,已婚,农民。因尿道外口有一肿物脱出,于1983年11月4日入院。患者1年前在沐浴时发现尿道外口有一蚕豆大肿物突出,有尿痛感,经当地医院按尿道肉阜治疗病情无好转,近2月突然增大,尿道外口有血性分泌物伴尿失禁。体检;尿道外口外翻,可见一菜花状肿物,有恶臭,触之质硬,易出血,约7×6×8cm~a,基底位于尿道之左侧,为卵圆形,无压痛。阴道捐诊检查:尿道和肿瘤与阴道前壁粘连,固定。腹股沟淋巴结不肿大。尿常规:蛋白少许,红细胞(+),脓球3~5/HP.血常规;Hb8g%,WBC21 800/mm~3,
Female patient, 39 years old, married, farmer. Due to a tumor outside the urethra prolapse, in November 4, 1983 admission. Patient 1 year ago found in the bath when the urethra has a broad bean prominent tumor, dysuria, by the local hospital according to the urethral caruncle condition no improvement, suddenly increased in recent 2 months, urethral orifice bloody discharge with urine incontinence. Physical examination; urethral orifice eversion, we can see a cauliflower tumor, stench, touches the hard, easy to bleed, about 7 × 6 × 8cm ~ a, the base is located in the left urethra, oval, no tenderness. Vaginal donation examination: urethral and tumor adhesions and vaginal anterior wall, fixed. Inguinal lymph nodes are not enlarged. Urine: a little protein, red blood cells (+), pus ball 3 ~ 5 / HP. Blood; Hb8g%, WBC21 800 / mm ~ 3,