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膀胱横纹肌肉瘤较为罕见,我院1984年至1990年间遇到3例,报告如下:例1,女,1岁,因下腹部摔伤后出理血尿1月伴排困维3天入院.体检耻骨上可触及5cm×46cm包块,B超膀胱内有一35mm×46mm光反射,内部回声不均,CT示膀胱内占位性病变,诊断:膀胱外伤、血块填塞.全麻下行膀胱探查术,术中见三角区、右侧壁肿瘤与骨盆固定,行姑息性肿瘤切除、膀胱造瘘术,病理诊断:膀胱胚胎性横纹肌肉瘤,家属拒行化疗,术后6个月死亡
Bladder rhabdomyosarcoma is relatively rare, our hospital from 1984 to 1990 encountered three cases, the report is as follows: Cases 1, female, 1 year old, due to the lower abdomen after hemorrhagic urinary tract excretion in January with sleepy dimensional 3 days admitted to hospital Physical examination Pubic On the palpable 5cm × 46cm mass, B ultrasound within a 35mm × 46mm light reflection, internal echo uneven, CT showed cystic lesions, diagnosis: bladder trauma, clot plug. Bladder exploration under general anesthesia, surgery In the triangle area, the right side of the wall of the tumor and the pelvis fixed line of palliative tumor resection, bladder ostomy, pathological diagnosis: Bladder embryonal rhabdomyosarcoma, family refused chemotherapy, after 6 months of death