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患者,男性,76岁,因间歇性无痛血尿三月,于1988年3月入院,尿液脱落细胞检查及膀胱镜检查,膀胱造影检查均证实膀胱肿瘤,患者未同意手术。1年后,因血尿排尿困难于1989年11月15日再度入院。体检:患者贫血貌,耻上区能可触及肿块,膀胱区“B”超检查:肿瘤位于右侧壁8.0×6.7cm大小。1周后,在硬膜外麻醉下行膀胱手术探查,发现肿瘤如儿头大小,有粗蒂来自右顶部膀胱壁,距二侧输尿管口均较远,肿瘤表面有糜烂膀胱其他
Patient, male, 76 years old, with intermittent painless hematuria March, admitted to hospital in March 1988, exfoliated urine and cystoscopy, and cystography confirmed bladder cancer. The patient did not consent to surgery. One year later, due to hematuria, dysuria was re-admitted on November 15, 1989. Physical examination: patients with anemia appearance, shame on the area can reach the tumor, the bladder area “B” Ultrasonography: tumor located in the right side wall 8.0 × 6.7cm size. One week later, under epidural anesthesia under bladder surgery exploration, found that the tumor, such as pediatric head size, with rough from the right top of the bladder wall, away from the ureter mouth are far, tumor surface erosion of the bladder other