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患者,男,30岁,发现下腹包块渐长大,9个月后出现便秘、排尿困难及阵发性下腹隐痛,11个月时包块长大至脐上三横指。在外院行剖腹探查,见腹膜后巨大囊性肿块,抽出棕褐色液体约5000ml,腔内底部有一约10×8×6cm~3新生物,取出并切除部分囊壁组织送病检,报告为腺癌,来源不清。术后腹块及上述症状消失,但一个月后又渐出现。4个月后(1983年10月26日)以腹膜后恶性肿瘤收住本院。检查见下腹囊状包块上平脐,下部向盆腔内延伸。前列腺未扪清。双精索增粗变硬,输精管与周围组织粘连,双附睾仅扪及附睾头。除 Hb17.9g%、RBC 数560万/mm~3外,其余均正常。B
Patients, male, 30 years old, found that the lower abdomen mass gradually grew large, 9 months after the occurrence of constipation, dysuria and paroxysmal abdominal pain, 11 months when the mass grew up to the umbilical upper three cross refers to. In the outer hospital line laparotomy, see the retroperitoneal huge cystic mass, remove the brown liquid about 5000ml, the bottom of the cavity there is a new organism about 10 × 8 × 6cm ~ 3, removed and resected part of the cyst wall tissue sent for disease detection, reported as gland Cancer, unclear sources. Postoperative abdominal mass and the above symptoms disappear, but gradually emerged one month later. Four months later (October 26, 1983), we received our hospital with retroperitoneal malignancies. Check to see the lower abdominal cystic mass navel, the lower part of the pelvic extension. Prostate not palpable clear. Double suture thickening hardens, vas deferens and surrounding tissue adhesions, double epididymis palpable only epididymal head. In addition to Hb17.9g%, RBC number 5.6 million / mm ~ 3, the rest are normal. B