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患者男,39岁,因血尿、尿痛3月入院。病初血尿为终末血尿,近7天来血尿加重为全血尿,并有血块排出。入院前曾因血尿在外院行两次膀胱镜检,发现膀胱右侧壁1×1cm大小的占位性病变,两次活检均为炎性改变。检查:表浅淋巴结无肿大,下腹部未扪及肿块。血红蛋白134g/L,白细胞4.6×100/L,血小板82×10~9/L,尿常规(一),尿培养(一)。X线胸片、B超、IVU无异常发现,CT显示膀胱右侧壁粘膜下肿块,约1cm直径大小,粘膜表面有水肿,出血改变。拟诊为膀胱非上皮性肿瘤。
Male patient, 39 years old, due to hematuria, dysuria in March hospitalization. Hematuria at the beginning of the disease as the end of hematuria, hematuria increased nearly seven days for hematuria, and blood clots discharged. Prehospital hematuria was hospitalized twice in the outer cystoscopy and found that the size of the right side of the wall 1 × 1cm space-occupying lesions, two biopsies are inflammatory changes. Check: No superficial lymph nodes, lower abdomen palpable mass. Hemoglobin 134g / L, white blood cells 4.6 × 100 / L, platelets 82 × 10 ~ 9 / L, urine (a), urine culture (a). X-ray, B-, IVU no abnormal findings, CT showed the right submucosal tumor of the bladder, about 1cm diameter size, mucosal surface edema, bleeding changes. To be diagnosed as non-epithelial bladder tumor.