膀胱葡萄状肉瘤是胚胎性横纹肌肉瘤的一种特殊类型,成人颇少见。现报告1例。患者,男,32岁。全程血尿1个月,于1986年2月20日入院。自诉50多天前骑自行车时,会阴部受颠簸,当时即感疼痛。20多天后出现小便发红,排尿时会阴部疼痛。体检:T36.6℃,P80次/分,BP17.3/10.7kPa(130/80mmHg)。会阴部及外生殖器无异常,前列腺不大,无压痛。膀胱镜检查见膀胱前壁有核桃大小的圆形肿物,表面不平,有破溃出血。B超示膀胱前壁下段可探及5.6×5.7cm菜花样实性不均质的肿物。临床诊断为膀胱肿瘤。于1986年3月4日行膀胱肿瘤切除术,术中见膀胱前壁肿瘤,为5×4× Bladder vitreous sarcoma is a special type of embryonal rhabdomyosarcoma, which is rare in adults. Now report 1 case. Patient, male, 32 years old. Hematuria throughout the month, on February 20, 1986 admission. Prostitution more than 50 days ago riding a bike, perineal by bumps, then feel pain. More than 20 days after the urine redness, urination, perineal pain. Physical examination: T36.6 ℃, P80 beats / min, BP17.3 / 10.7kPa (130 / 80mmHg). Perineal genitals and no abnormalities, prostate is not large, no tenderness. Cystoscopy see the wall of the anterior wall of the walnut-shaped round tumor mass, uneven surface, ulcerated bleeding. B ultrasound showed lower anterior bladder wall can be explored and 5.6 × 5.7cm cauliflower solid heterogeneous mass. Clinical diagnosis of bladder cancer. On March 4, 1986 underwent bladder tumor resection, intraoperative see anterior bladder tumor, 5 × 4 ×