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患者男,63岁,因尿频,尿疼8个月,尿流变细以至排尿困难3个月于1988年7月15日住院。体检:会阴部明显肿胀,阴茎水肿增粗,近阴囊处触及一肿块,约5cm×4cm×3cm,质较硬,尿道口有脓性分泌物,左腹股沟淋巴结肿大,其它部位未见异常。血常规检查正常。尿液检查:红细胞++、白细胞+++。X线胸部检查未见异常。临床诊断为尿道癌。于硬膜外麻醉下作阴茎全切除手术。手术所见:肿物位于尿道球部与膜部之间,4cm×3cm×3cm大,瘤组织部分坏死;左腹股沟有一肿大的淋巴结,约2cm×1cm×1cm,作阴茎全切除及肿大淋巴结活检。病理诊断:原发性尿道鳞状细胞癌,左腹股沟淋巴结炎性反应性增生。术后行放疗,~(60)Co局部照射5次,每次2Gy。1991年7月患者下腹部出现一肿块,3cm×2cm×2cm大,行
Male patient, aged 63, was hospitalized for 3 months on July 15, 1988 due to frequent urination, urinary pain for 8 months, thin urinary flow, and dysuria. Physical examination: Perineal obvious swelling, penile edema thickening, near the scrotum touched a lump, about 5cm × 4cm × 3cm, hard quality, purulent urethral discharge, left inguinal lymph nodes, other parts no abnormalities. Blood tests were normal. Urinalysis: red blood cells ++, white blood cells +++. X-ray examination showed no abnormalities. Clinical diagnosis of urethral cancer. In the epidural anesthesia for penile total resection surgery. Surgical findings: the mass is located between the urethra and the Ministry of membrane, 4cm × 3cm × 3cm large, tumor tissue necrosis; left groin has a swollen lymph nodes, about 2cm × 1cm × 1cm, for penile resection and enlargement Lymph node biopsy. Pathological diagnosis: primary urethral squamous cell carcinoma, left inguinal lymph node inflammatory reactive hyperplasia. Postoperative radiotherapy, ~ (60) Co local irradiation 5 times, each 2Gy. July 1991 patients with a mass in the lower abdomen, 3cm × 2cm × 2cm large, OK