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患者女性,47岁,工人。因大便带血两个月,肛检发现直肠肿块收住院。两月来粪便经常带少许粘液及血液,便后小腹稍坠痛,不发烧,食欲正常。查体:发育营养良好,浅淋巴结不大,头、颈、心肺无异常,腹平软,肝脾不大,无腹水征。肛检:膝胸位11—1点处距肛缘10cm有一椭圆形肿块,稍硬,表面光滑,活动范围较大,肿块周围粘膜光整。实验室检查:血尿
Patient female, 47 years old, worker. Due to stool blood for two months, rectal masses were found in the rectal examination. In the past two months, feces often contain a little mucus and blood, and then the lower abdomen falls slightly, no fever, and normal appetite. Physical examination: Well-developed nutrition, shallow lymph nodes, no abnormalities in head, neck, heart and lung, abdominal softness, small liver and spleen, no ascites. Intestinal examination: There is an elliptic mass at 11-1 points of the knee from the anal margin. It is slightly hard and has a smooth surface with a large range of motion. The mucosa surrounding the mass is smooth. Laboratory tests: hematuria