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1病例报告患者男,15岁。因排尿困难半年余,不能自主排尿2周入院。查体示前列腺增大,中央沟消失,质地中等,未触及结节。CT检查显示:前列腺明显增大,大小约63.7mm×56.0mm×50.0mm,边界不清,实质密度不均匀性减低;双侧精囊腺增粗,形态欠规则,与膀胱、前列腺间隙模糊(图1)。拟诊第1骶椎隐裂;考虑慢性膀胱炎、前列腺炎、精囊炎。膀胱镜检查示:前列腺侧叶增大明显,压迫尿道,表面充血明显,膀胱内多发血凝块。血PSA检查未见异常。行前列腺穿刺病理回报:梭形细胞肿瘤
1 case report Patient male, 15 years old. Due to dysuria more than six months, can not autonomic urination 2 weeks admission. Physical examination showed that the prostate increased, the central groove disappeared, medium texture, did not reach the nodules. CT examination showed that the size of the prostate was obviously enlarged with a size of about 63.7mm × 56.0mm × 50.0mm, the border was unclear and the density of inhomogeneity was reduced. The bilateral seminal vesicles were thicker, the morphology was less regular, and the gap between the bladder and the prostate was vague 1). The proposed first 1 sacral splinter; consider chronic cystitis, prostatitis, vesiculitis. Cystoscopy showed: prostate lobes increased significantly, oppression of the urethra, surface congestion, multiple cyst within the blood clots. No abnormal blood PSA test. Prostate biopsy pathological findings: spindle cell tumor