病例:男性,40岁。间歇性尿血9个月,伴尿频、尿急、尿痛,尤以终末尿血及尿痛为甚。B超提示膀胱占位性病变。入院检查:体温正常,全身淋巴结不肿大,心、肺、肝、脾无异常,下腹部膀胱区触痛。尿常规:蛋白(++),白细胞(+++),红细胞(+)。分泌性尿路造影报告“膀胱肿瘤”。经抗炎治疗后行膀胱镜检,在插入后尿道部有阻力,膀胱粘膜粗糙不平,三角区膀胱壁向腔内隆起,凸凹不平,两侧输尿管口辨认不清。两次取活检,见粘膜组织内有数小团细胞巢,核深染,大小不等。细胞有异型,疑癌。手术中见膀胱与腹膜紧密粘连,膀胱三角区及尿道口见有肿物,当即切除膀胱送检。病理检查:观测膀胱大小约9.5×7×6厘米,表面 Case: Male, 40 years old. Intermittent hematuria 9 months, with frequent urination, urgency, dysuria, especially in the terminal hematuria and dysuria. B-Tip Bladder space-occupying lesions. Admission examination: normal body temperature, generalized lymph nodes are not swollen, heart, lung, liver and spleen without exception, the lower abdomen bladder area tenderness. Urine: protein (++), white blood cells (+++), red blood cells (+). Secretory urography report “bladder tumor.” After anti-inflammatory treatment of cystoscopy, inserted in the Department of urethra resistance, rough bladder mucosa, the triangular wall of the bladder wall uplift to the cavity, uneven, ureteral orifice on both sides of the illegible. Take biopsy twice, see a few small cell clusters within the mucosa, deep-stained nuclei, sizes. Cells are abnormal, suspected cancer. See the bladder and peritoneal adhesions in the operation, the bladder trigone and urethra see the tumor, immediately removed the bladder for inspection. Pathological examination: Observe the bladder size of about 9.5 × 7 × 6 cm, the surface