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患者男,22岁,以无痛性肉眼血尿10日而就诊。病人经常反复发作性肉眼全程血尿1个月,无发热,无尿路刺激征,无排尿困难,临床查体无阳性体征。X线大剂量排泄造影:双肾显影良好,双侧输尿管上段显示,中下段显示不清;膀胱右侧近输尿管区见1.5cm×1.7cm的充盈缺损,密度欠均匀。X线诊断:膀胱内良性占位。B超检查:双肾未见异常。膀胱内近右输尿管口处,可探及一约2.0cm×1.5cm的强回声团,表面光滑,基底窄,可漂动。B超诊断为膀胱内带蒂实质性肿瘤。膀胱镜检查:膀胱
Male patient, 22 years old, with painless gross hematuria on the 10th visit. Patients often recurrent intraocular hematuria for 1 month, no fever, no urinary tract irritation, no dysuria, clinical examination no positive signs. X-ray high dose excretion angiography: renal development was good, bilateral ureteral showed the middle and lower segments showed unclear; near the right ureter in the bladder see 1.5cm × 1.7cm filling defects, the density is less uniform. X-ray diagnosis: Bladder benign space-occupying. B-ultrasound: no abnormalities in both kidneys. Bladder near the right ureter mouth, can be detected and about 2.0cm × 1.5cm strong echo group, the surface is smooth, narrow base, can drift. B ultrasound diagnosis of pedunculated cyst solid tumors. Cystoscopy: bladder