论文部分内容阅读
例1 78岁.因排尿不畅1年、近1周加重,拟诊为前列腺增生,于1989年8月22日人院.体检:BP14/9kPa.直肠指诊:前列腺增大,中央沟变浅,质韧,未们及硬结节.尿常规;红细胞(?).B超检查:前列腺大小5.5cm×3.8cm×3.4cm,回声尚均匀,包膜欠光整.X线胸片及IVU 未见异常.于同年10月11日在连续硬膜外麻醉下行耻骨上经膀胱前列腺摘除术.切除之前列腺包膜完整,质韧,无结节,重约40g.病理报告:前列腺结节性增生伴局灶性鳞状细胞癌.术后口服前氟陡200mmg,每日3次,他莫西芬10ms,每日3次,化疗1个月后出院.
Example 1 78-year-old. Was diagnosed as having benign prostatic hyperplasia due to poor urination for 1 year and nearly 1 week. On August 22, 1989 in the hospital. Physical examination: BP14/9kPa. Digital rectal examination: enlarged prostate, central sulcus Shallow, tough, not hard and nodules. Urine routine; red blood cells (?). B-ultrasonic examination: prostate size 5.5cm × 3.8cm × 3.4cm, the echo is still uniform, the envelope is less perfect. X-ray and There was no abnormality in IVU. On October 11 of the same year, suprapubic transurethral resection of the prostate was performed under continuous epidural anesthesia. The prostatic capsule with resection was intact, tough, no nodules weighing approximately 40 g. Pathology report: Prostate nodules Hyperplasia with focal squamous cell carcinoma. Postoperative oral fluoropreg 200mmg, 3 times daily, tamoxifen 10ms, 3 times daily, chemotherapy was discharged after 1 month.