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患者男性,75岁。2年前确诊为膀胱移行细胞癌2级,行部分膀胱切除术,近期因阴囊湿疹不愈就诊。查体:见双侧阴囊皮肤糜烂、隆起。行阴囊皮肤组织活检术,同时行膀胱活检术发现膀胱癌复发,形态同原发。病理检查巨检:右侧阴囊皮肤组织5.6 cm×3.2 cm×1 cm大小,表面糜烂中央散在不规则隆起,3.4 cm×1.5 cm×0.3 cm大小。左侧阴囊皮肤组织2.6 cm×1.5 cm×0.6 cm大小,表面糜烂、不规则微隆起。镜检:表皮全层见大圆形细胞,胞质丰富,淡染透亮或轻度嗜酸性,核
Male patient, 75 years old. 2 years ago diagnosed as bladder transitional cell carcinoma 2, line partial cystectomy, recent eczema due to scrotum treatment. Examination: See bilateral scrotal skin erosion, uplift. Line scrotal skin biopsy, bladder biopsy at the same time found that bladder cancer recurrence, the same form with the original. Pathological examination of macroscopic examination: the right side of the scrotal skin tissue size of 5.6 cm × 3.2 cm × 1 cm, surface erosion of the central scattered irregular bulge, 3.4 cm × 1.5 cm × 0.3 cm size. Scrotal skin on the left 2.6 cm × 1.5 cm × 0.6 cm size, surface erosion, irregular micro uplift. Microscopic examination: full-thickness see large round cell epidermis, abundant cytoplasm, light translucent or mild acidophilic, nuclear