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1临床资料患者男性,86岁,1993年6月17日体检时膀胱B超发现有一肿物,膀胱镜检查示左输尿管口外上方1cm处有一约0.7cm×2.7cm带蒂肿物,23日在硬膜外麻醉下,行膀胱肿瘤切除+前列腺摘除术,术后病理报告:膀胱移形上皮乳头状癌(0~1级)。术后给予卡介苗、丝裂霉素、塞替派等药物膀胱灌注约1年,病情稳定。2004年6月30日,体检时腹部B超发现左上腹部有一约5cm×4cm×5cm大小肿物。腹部CT检查结果同B超,性质待定。2004年7月8日行肠系膜肿瘤切除+部分小肠切除术,术后病理报告:(空场中段)恶性间质瘤。免疫组化:CD117(+)、S100(-)、AFP(-)、CEA(-)、Actin(-)。2007年11月23
1 clinical data of patients male, 86 years old, June 17, 1993 physical examination when the bladder B-found a tumor, cystoscopy showed left ureteral orifice 1cm above the top of a 0.7cm × 2.7cm pedunculated mass, 23 in the Under epidural anesthesia, bladder tumor resection + prostatectomy was performed. Postoperative pathology report: bladder transitional epithelial papillary carcinoma (grade 0 ~ 1). Postoperative BCG, mitomycin, thiotepa bladder irrigation drugs such as about 1 year, stable condition. June 30, 2004, abdominal examination during physical examination found a left upper abdomen about 5cm × 4cm × 5cm size of the tumor. The results of abdominal CT examination with B ultrasound, nature to be determined. July 8, 2004 mesenteric tumor resection + part of the small intestine resection, postoperative pathology report: (open field) malignant stromal tumors. Immunohistochemistry: CD117 (+), S100 (-), AFP (-), CEA (-), Actin (-). November 2007 23