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患者,男,13岁。下腹部肿块2年,隐痛1月。无尿频、尿急、尿痛、血尿及粘液尿。于1989年11月30日入院。查:耻骨上区可触及约5 cm×5 cm大小肿块,边界清楚,质硬,活动欠佳,轻压痛。血、尿常规正常。入院诊断:腹部肿块待查。于1989年12月14日剖腹探查。术中见肿瘤位于下腹正中偏左,与左腹直肌和腹直肌后鞘及腹膜粘连融合,肿瘤呈浸润性生长,界线不清,约6 cm×4 cm×3 cm大小,结节状。沿其右侧进入腹腔见肿瘤与大网膜、横结肠系膜及部分回肠壁粘连,距粘连处约1 cm有一长约2 cm的回肠
Patient, male, 13 years old. Lower abdominal mass 2 years, pain in January. Urinary frequency, urgency, dysuria, hematuria and mucus urine. Admitted to hospital on November 30, 1989. Check: suprapubic area can reach about 5 cm × 5 cm size of the tumor, the border is clear, hard, poor activity, mild tenderness. Blood, urine routine normal. Admission diagnosis: abdominal mass to be investigated. December 14, 1989 laparotomy. Surgery, see the tumor is located in the middle of the lower abdomen, left and rectus abdominis and rectus abdominis and peritoneal adhesions fusion, the tumor was infiltrative growth, the boundary is unclear, about 6 cm × 4 cm × 3 cm size, nodular . Along the right into the abdominal cavity to see the tumor and the omentum, transverse mesocolon and part of the ileum wall adhesions, adhesions at about 1 cm with a length of about 2 cm ileum