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患者,31岁。右侧腰部胀痛20天,外院B超和静脉肾盂造影提示右肾重度积水,于1989年8月9日入院。半年来月经期有轻度尿频、尿急,无尿痛及血尿,月经周期正常。已生育2胎。检查:右肾区叩痛,尿常规正常。B超示膀胱右后壁2.6×1.5cm强回声团块。膀胱镜检见右输尿管口处有3×2 cm广基肿块隆起,粘膜光滑完整。插管受阻。妇科检查:子宫颈右前方扪及核桃大小肿块,质较硬而有压痛,右侧附件增厚。拟诊为膀胱非上皮性肿瘤。
Patient, 31 years old. On the right side of the waist pain for 20 days, outside the hospital B-and intravenous pyelography prompted severe hydronephrosis in the right kidney, on August 9, 1989 admission. Menstrual period for six months with mild urinary frequency, urgency, no dysuria and hematuria, normal menstrual cycle. Has 2 births. Check: Right kidney area percussion pain, normal urine. B ultrasound showed bladder right posterior wall 2.6 × 1.5cm strong echo mass. Cystoscopy see right ureteral orifice at 3 × 2 cm wide base mass swelling, mucosa smooth and complete. Intubation blocked. Gynecological examination: palpable right front of the cervix and the size of the walnut mass, the quality of hard and tenderness, the right attachment thickening. To be diagnosed as non-epithelial bladder tumor.