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患者,女,26岁。因发现尿道外口肿物2年,肿物反复出血1个月入院。2年前患者发现尿道外口肿物于外院门诊行肿物切除术,术后未行病理检查。1年前发现肿物复发、增大,明显突出于尿道外口。体检:肿物形同指状突于尿道外口,大部分表面黏膜光滑,呈紫红色,顶尖部表面有糜烂、溃疡(图1A)。经阴道彩超检查提示尿道肿物,5.0cm×2.5cm×2.5cm大小,呈均质低回声,边缘光整,未见明显血流信号。患者取截石位,用细探针探查尿道与肿物的关系,肿物蒂位于距离尿道外口0.5cm处的11~1点位置。膀胱尿道镜检查膀胱
Patient, female, 26 years old. Due to the discovery of urethral orifice tumor for 2 years, the tumor repeatedly bleeding 1 month admission. 2 years ago, patients found urethral orifice tumor in the outpatient clinic for tumor resection, postoperative pathological examination. A year ago found tumor recurrence, increased significantly conspicuously outside the urethra. Physical examination: the same type of tumor protruding in the mouth of the urethra, most of the mucosal surface smooth, was purple, the top surface erosion, ulcers (Figure 1A). Transvaginal ultrasound examination prompted urethral mass, 5.0cm × 2.5cm × 2.5cm size, was homogeneous hypoechoic, edge finishing, no significant blood flow signal. Patients take lithotomy position, probe with a fine probe urethra and tumor relationship, the mass pedicle is located 0.5cm away from the urethral orifice at 11 to 1 point position. Bladder urethral examination of the bladder