患者男性,41岁,农民。住院号94993。主因下腹部肿物逐渐增大9~+月,伴有间断性尿频、尿痛,尿粘液样絮状物,于1982年12月8日急诊入院。患者于16年前,曾因肉眼血尿,行过膀胱探查、膀胱部分切除,结肠扩大膀胱术。 1982年3月,无意中发现下腹部有核桃大小可以推动的肿物,质硬无压痛,伴有轻度尿频,以后肿物逐渐增大尿频显著,夜尿可达十余次,白天五次左右。有时从尿道排出白色絮状物。入院前一月膀胱刺激症状明显。经常用双手支撑下腹或服去痛片以缓解症状。体格检查,下腹正中呈半球形隆起,可扪及拳 Male patient, 41 years old, farmer. Hospital number 94993. Mainly due to the lower abdomen tumor gradually increased 9 ~ + months, accompanied by intermittent frequent urination, dysuria, urinary mucin-like floc, on December 8, 1982 emergency admission. 16 years ago, patients had gross hematuria, bladder exploration, partial resection of the bladder, colon expansion of the bladder surgery. In 1982 March, inadvertently found that the lower abdomen can promote the size of the walnut size, hard and no tenderness, accompanied by mild pollakiuria, after the gradual increase of tumor frequency of frequent urination, nocturia up to ten times, five times during the day about. Occasionally discharge white floccules from the urethra. One month before admission, bladder irritation symptoms were obvious. Often with both hands to support the lower abdomen or clothes to ease the symptoms of pain tablets. Physical examination, the lower abdomen were hemispherical bulge, palpable and punches