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男,11岁。因无痛性间歇性血尿8年于1986年11月17日入院。患儿自3岁开始出现血尿,多呈尿后滴血,无膀胱刺激症状。3月前间歇性排出全程血尿,感头晕、乏力。体查除营养较差、消瘦、贫血外无异常发现。经膀胱镜检发现膀胱顶及右后侧壁有一肿块,约4×4cm,暗红色,表面光滑。手术治疗,术中见腹膜、大网膜与膀胱顶肿块处致密粘连,粘连处可见明显充盈暗红色的血管,膀胱顶及右后侧壁有一肿块约5×4×1.5cm大小,累及膀胱全层,表面不平,其四周可见玉米粒大小结节数个。其腔面呈暗红色,中心区表面糜烂。行膀胱部分切除术。病理诊断:膀胱海
Male, 11 years old. Due to painless intermittent hematuria 8 years on November 17, 1986 admission. Children from the age of 3 hematuria began to appear more than the blood after the drop of urine, no bladder irritation. 3 months ago, intermittent discharge of hematuria, dizziness, fatigue. Physical examination in addition to poor nutrition, weight loss, anemia no abnormal findings. Cystoscopy showed that the top of the bladder and the right posterior wall has a mass, about 4 × 4cm, dark red, smooth surface. Surgical treatment, intraoperative see the peritoneum, omentum and the top of the cystic bursa at the Department of adhesions, adhesion was visible filling dark red blood vessels, the top of the bladder and the right posterior wall has a lump about 5 × 4 × 1.5cm size, involving the bladder Layer, uneven surface, the size of the corn grain can be seen around the number of nodules. Its cavity surface is dark red, the central area of erosion. Bladder partial excision. Pathological diagnosis: bladder sea