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患者女性,24岁,无明显诱因间歇性血尿4个月。尿常规:蛋白(+),红细胞0-1个/HP,白细胞(++),膀胱X线造影显示膀胱左下缘不规则充盈缺损区约3.0×2.0cm,考虑膀胱肿瘤;膀胱镜示:膀胱左侧壁2.0×2.5cm肿物,提示膀胱癌,B超所见:膀胱左后壁不均匀实质性肿物,为膀胱癌。临床诊为膀胱肿物行切除术,术中见膀胱左后下壁有一约3.0×3.0×2.0cm实质性肿物,突入膀胱,肿物中央凹陷,术后送病理检查行二次取材,多块切片,均为镜下炎症性肉芽肿。追
Female patient, 24 years old, no obvious incentive for intermittent hematuria for 4 months. Urine routine: protein (+), 0-1 red blood cells / HP, white blood cells (++), bladder X-ray angiography showed irregular filling of the lower left margin of the bladder defect area of about 3.0 × 2.0cm, consider bladder cancer; cystoscopy: Left side wall 2.0 × 2.5cm tumor, suggesting bladder cancer, B ultrasound seen: uneven bladder wall posterior homogeneous tumor, bladder cancer. Clinical diagnosis of bladder tumor resection, intraoperative see the left posterior wall of the bladder a 3.0 × 3.0 × 2.0cm substantive tumor, broke into the bladder, tumor central depression, postoperative pathological examination to take the second row of material, and more Cholesteric section, are microscopic inflammatory granuloma. chase