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膀胱平滑肌瘤临床上少见的良性肿瘤,本院收治2例,报告如下:例1 男患 40岁 1977年1月以膀胱癌收入院。入院前1年出现尿频、尿痛、时有终末血尿,以泌尿系感染治疗不见好转。多次尿检有镜下血尿,入院前膀胱镜检,于顶部见一3×4×3厘米,园形实质性肿物,考虑为恶性肿瘤。入院时体检无阳性体征,尿检红细胞满视野,白细胞3—5个/HP。其他检查正常。手术探查在膀胱顶部见一3×4×3厘米、表面有钙盐沉着的实质性肿物,肿瘤基底宽,无钙盐沉着处覆盖,有正常膀胱粘膜,肿瘤基底附着的膀胱壁与盆腔肤膜有粘连,粘连的肤膜呈白色,表面光滑。手术时将肿瘤粘连的肤膜整块切除。术后病理:膀胱平滑肌瘤。
Bladder leiomyoma clinically rare benign tumor, admitted to our hospital in 2 cases, the report is as follows: Case 1 male suffering from 40 years old 1977 January bladder cancer income hospital. 1 year before admission, urinary frequency, dysuria, sometimes hematuria, urinary tract infection treatment did not improve. Multiple urinalysis with microscopic hematuria, cystoscopy before admission, at the top to see a 3 × 4 × 3 cm, park-like substantive tumor, considered as a malignant tumor. Physical examination at admission no positive signs, urine red blood cells full field of vision, white blood cells 3-5 / HP. Other tests are normal. Surgical exploration in the top of the bladder to see a 3 × 4 × 3 cm, the surface of the calcium deposits of substantial tumor, the basal tumor wide, no calcium salt deposition covered with normal bladder mucosa, tumor-based bladder wall attached to the pelvic floor and skin Membrane adhesion, adhesion of the skin was white, smooth surface. Surgical removal of the tumor adhesion of the entire membrane. Postoperative pathology: bladder leiomyoma.