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患者,77岁,表卸工人。龟头肿物三年,排物呈喷雾状一年,于1989年11月收住院。患者九岁时龟头正中长有一小米粒大小,粉红色,高出表面之小结节,无痛,47岁之前,无任何变化和不适感;48岁后逐渐增大,52岁时长至花生米大,无不适,62岁时蛋黄大,表面不光滑,有小米粒大小的凸起,时有痒感,排尿无异常;74岁时增长到鸡蛋大,并呈菜花状,排尿呈轻度喷壶洒水样,有痒感,少许白色浆液性分泌物,有腥味,无破溃,无出血;76岁时增长到鸡蛋大,上述症状加重,排尿呈喷雾状。检查阴囊、睾丸、副睾丸无触痛及结节;阴茎前2/3及龟头均被瘤体侵蚀,尿道口分辨不清;肿物约鹅蛋大,呈菜花状,表面有大量脓性分泌物,腥臊臭味,少许破溃,少量出血,触痛,直肠,前列腺指诊无异常。木后病理报告:鳞状上皮细胞癌。
Patient, 77 years old, watch worker. Glaucoma three years, was discharged in a spray-like year, in November 1989 admitted to hospital. When the patient was nine years old, the glans had a millet grain in the middle and a pink color. It was slightly nodular above the surface and painless. Before the age of 47, there was no change or discomfort. After 48 years old, Large, no discomfort, 62-year-old large yolk, the surface is not smooth, the size of the bulge of millet, when itching, no abnormal urination; 74-year-old rose to large eggs, and was cauliflower, Sprinkle water, itching, a little white serous discharge, a smell, no ulceration, no bleeding; 76 years old to grow eggs, the above symptoms worse, micturition was sprayed. Check the scrotum, testis, epididymis no tenderness and nodules; 2/3 of the penis and glans were erosion of the tumor, urethral orifice indistinct; tumor about goose eggs, was cauliflower-like, a large number of purulent secretion on the surface Material, fishy smell, a little rupture, a small amount of bleeding, tenderness, rectum, prostate no abnormalities. Postmortem Pathology Report: Squamous Cell Carcinoma.