【病历简介】患者男性.61岁。间歇性无痛性血尿半年余.每次血尿持续2～3天,有时伴下腹部疼痛。体检无异常发现。膀胱镜检查见左侧输尿管口上方有一2厘米大小肿物.表面不光滑,带蒂。实验室检查:尿蛋白(+).红细胞10～15高倍视野.白细胞满视野。【X线检查】静脉肾盂造影示双侧肾盂肾盏及输尿管未见异常.在膀胱左侧有一3.5×3.0厘米大小充盈缺损.边缘不规则(图2)。X线诊断:膀胱癌。【术后诊断】膀胱乳头状移行上皮癌。【解释】膀胱镜检查为膀胱肿瘤.有的病人因某 【Brief History】 Patient male .61 years old. Intermittent painless hematuria more than six months.Every time hematuria continued for 2 to 3 days, sometimes accompanied by abdominal pain. No abnormal physical examination found. Cystoscopy see the left ureteral orifice above a 2 cm size of the tumor. The surface is not smooth, pedunculated. Laboratory tests: urinary protein (+). Red blood cells 10 to 15 high power fields. Leukocytes full field of vision. [X-ray examination] Intravenous pyelography showed bilateral pyelonephrosis and ureter no abnormalities in the left side of the bladder has a 3.5 × 3.0 cm-sized filling defect edge irregular (Figure 2). X-ray diagnosis: bladder cancer. Postoperative diagnosis of bladder transitional cell carcinoma of the papillary. [Explanation] cystoscopy for bladder cancer. Some patients due to a