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[病例] 女,39岁,因右腰部钝痛、不适3年,反复性肉眼血尿,伴肿物脱出尿道外口2月余,体检心肺、肝脾肾无异常,双合诊膀胱区未触及种物。排尿后从尿道外口见有淡红色似乳头状肿物脱出,长约4cm,可自行退缩回膀胱。尿常规RBC(++)WBC(+),血常规正常,血沉8 mm/h。肾图左肾正常,右肾呈梗阻曲线。B超右肾轻度积水。膀胱镜检查右输尿管开口部位有一表面光滑呈菊花样肿物,无绒毛,蒂较宽,表面有血管扩张,不出血,长约6 cm。右输尿管开口被肿物遮盖看不清。取病理检查报告
[Case] Female, 39 years old, due to right lower back dull pain, discomfort for 3 years, repeated gross hematuria, with tumor excretion of urethral orifice more than 2 months, physical examination of heart and lung, liver and spleen and kidney were normal, Species. After urinating from the urethral orifice see seemingly pink nipple-like prolapse, about 4cm, can self-retraction back to the bladder. Urinary routine RBC (+) WBC (+), normal blood, erythrocyte sedimentation rate 8 mm / h. Renal kidney left kidney normal, right renal obstruction curve. B super-mild hydronephrosis. Cystoscopy right ureteral orifice has a smooth chrysanthemum-like surface, no lint, wide pedicle, the surface of the vasodilation, no bleeding, about 6 cm. The right ureteral orifice is obscured by the tumor. Take pathological examination report