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患者,男,66岁.因进行性排尿困难一年余,无痛性肉眼血尿一月余而就诊.肛诊:前列腺增大,中央沟略浅,质中,无结节,无压痛.B超检查:前列腺正常大小,在膀胱三角区,见一个4.7×3.7cm的中等回声区,呈椭圆形,表面规则,基底部宽,不随体位而移动,膀胱壁毛糙,内见多个乳头状突起.B超诊断膀胱实性肿物.膀胱镜检:可见肉眼血尿,冲洗后见前列腺明显增大,突向膀胱.
Patients, male, 66 years old, due to progressive dysuria for more than a year, painless gross hematuria more than a month and treatment .Rectal diagnosis: prostate enlargement, slightly shallow central channel, quality, nodules, no tenderness.B Ultrasonography: normal prostate size, in the bladder trigone, see a 4.7 × 3.7cm medium echo area, oval, surface rules, wide base, does not move with the position, the bladder wall rough, see a number of papillae B ultrasound diagnosis of solid tumors of the bladder. Cystoscopy: visible gross hematuria, flushing, see the prostate significantly increased, protruding bladder.