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患者男,21岁。主因“进行性尿频、尿急、排尿困难2个余月”就诊。患者入院前2个余月无明显诱因出现尿频、尿急、排尿困难,入院前2d突然无法排尿而就诊。查体:右下腹触及硬包块,边界不清,不活动,双侧睾丸无肿大,触痛,附睾无结节。直肠指诊:肛门括约肌无松弛,前列腺可触及一巨大的包块,表面光滑,质韧,不活动,边界不清。血清PSA<4ng/ml。超声检查:右肾窦分离,前列腺体积明显增大,形态失常,被膜不平整,回声不均匀,内探及大小约8.7cm×8.3cm的低回声,形态不规
Patient male, 21 years old. Mainly because of “progressive urinary frequency, urgency, dysuria more than 2 months ” treatment. More than 2 months before admission, patients with no obvious incentive to frequent urination, urgency, dysuria, admitted to hospital 2d suddenly unable to urinate and treatment. Physical examination: touching the right lower quadrant hard mass, the border is unclear, inactive, bilateral testicular enlargement, tenderness, epididymal nodules. Rectal examination: anal sphincter without relaxation, the prostate can reach a huge mass, the surface is smooth, tough, inactive, the border is not clear. Serum PSA <4 ng / ml. Ultrasonography: separation of the right renal sinus, prostate volume was significantly increased, morphological disorders, the film is not flat, uneven echoes, exploration and the size of about 8.7cm × 8.3cm hypoechoic, irregular shape