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患者女性,55岁。主因下腹部酸胀发现包块一个月入普外科治疗。入院查体见下腹正中隆起,并可触及一约6cm×4cm之包块,触之酸胀,表面光滑,边界欠清,基底未及,改变体位触及包块感觉相同。B超考虑:①膀胱壁向外生长型占位;②膀胱外占位浸润膀胱壁,遂转泌尿外科。膀胱镜检查:膀胱容量约350ml,膀胱腔内无结石和结核结节。粘膜无放射状瘢痕及溃疡,于膀胱顶部及前壁见一乳头状肿块,基底不清,无飘动感,直径4cm~5cm,无活动性出血,两侧输尿管开口对称呈裂隙状,见正常喷尿,尿道内光滑未见肿物。CT扫描示膀胱占位性病变,并有腹壁浸
Patient female, 55 years old. Mainly due to lower abdominal soreness found mass a month into the general surgery. Admission physical examination to see the lower abdomen uplift, and can reach about 6cm × 4cm of the mass, touching the soreness, the surface is smooth, the border is not clear, the base is not yet, change the body position to touch the same feeling. B-consider: ① outward growth of the bladder wall space-occupying; ② outside the bladder infiltration bladder wall occupancy, then turn urology. Cystoscopy: bladder capacity of about 350ml, no bladder stones and tuberculosis nodules. Mucosa without radial scars and ulcers, the top of the bladder and the anterior wall to see a papillary mass, the base is not clear, no floating sense of diameter 4cm ~ 5cm, no active bleeding, both sides of the ureter opening symmetrical slit-like, see normal urination No urethra mass was found in the urethra. CT scan showed bladder space-occupying lesions with abdominal wall immersion