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患者男性,39岁,因肉眼全程血尿伴终末尿痛3天半收入院.患者两年前曾有类似病史出现.体查T36.8℃全腹无压痛,尿道口无红肿或分泌物.小便常规RBC(卅)WBC(+)临床诊断 血尿原因待查B超膀胱充盈下探查 膀胱左前壁见4.8×5.3cm实性光团凸向腔内,边界尚整,其内光点分布欠均,以低回声为主.并见0.9×0.5cm、0.6×0.5cm等数个强光点,后见声影.B超诊断 膀胱实质性恶性肿块.膀胱镜检查 膀胱顶部粘膜下肿物.(不排除膀胱外肿物压迫)CT诊断.膀胱前壁占位性病变、未排膀胱占位性病变.手术 膀胱左侧顶部有一5×5cm大小肿物,表面光滑,质中,内圣鱼肉样,有数个坏死区及巧克力样陈旧出血.术后及病理诊断 膀胱平滑肌肉瘤膀胱肿瘤分为上皮细胞性肿瘤及非上皮细
Male patient, 39 years old, due to the naked eye full hematuria with terminal dysuria 3 days and a half income hospital patients had similar history two years ago there was physical examination T36.8 ℃ whole abdomen without tenderness, urethra no swelling or secretions. Urine routine RBC (卅) WBC (+) clinical diagnosis of hematuria cause to be investigated B super-bladder filling probing the left anterior wall of the bladder see 4.8 × 5.3cm solid light bulge convex cavity, the border is still intact, All with low echo mainly.And see 0.9 × 0.5cm, 0.6 × 0.5cm and other strong points, see sound and shadow .B ultrasound diagnosis of bladder malignant mass cystoscopy bladder top submucosal tumor. (Do not rule out the oppression of bladder tumor) CT diagnosis of anterior bladder space-occupying lesions, not bladder space-occupying lesions on the left side of the bladder surgery has a size of 5 × 5cm tumor, the surface smooth, Like, there are several areas of necrosis and chocolate-like bleeding.Postoperative and pathological diagnosis of bladder leiomyosarcoma bladder cancer is divided into epithelial tumors and non-epithelial thin