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患者男性,42岁,因腹壁肿瘤术后再发于1980年8月18日再次入院。患者1957年因血尿伴急性尿潴留在外院行膀胱造瘘术,清除血块留置导管(耻骨上膀胱造瘘管,下同);半月后拔除导管又出现肉眼血尿及排尿困难,再次造瘘。术中检查均未见肿物。约半年后在膀胱造瘘口出现胀痛,由造瘘口突出一鸽蛋大肿物,表面呈肉芽样,将局部肿物切除后未见再发(肿块性质不详),后因多种原因未能拔除导管而带管出院长达20年之久。 1973年7月因有小膀胱症状首次来院就诊。1979年5月出现造瘘口剧痛,后长出一肿物,于同年9月再次入院。检查见肿物由瘘口向外突出呈菜花样,约有4×3cm大小,表面溃烂渗血有恶臭,活检报告
The patient, male, 42 years old, was admitted to hospital again on August 18, 1980 due to postoperative recurrence of abdominal wall tumors. In 1957, patients with hematuria associated with acute urinary retention in the external hospital for cystostomy, removal of blood clots indwelling catheter (pubic cystostomy tube, the same below); half months after removal of the catheter and gross hematuria and dysuria, re-creation. No tumors were seen during the surgery. About half a year later, there was pain in the ostomy of the cystostomy. The ostomy protruded from a large mass of pigeons. The surface was granulose-like, and there was no recurrence after resection of the local mass (the mass was unknown). After many reasons Failed to remove the catheter and discharge it for 20 years. In July 1973, she first visited the hospital because of symptoms of bladder. In May 1979, he developed severe pain in his mouth and developed a tumor. He was admitted again in September of the same year. Examination showed that the mass protruded outward from the gargle was a cauliflower, about 4 × 3cm in size, and the surface eroded and rancid, biopsy report