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患者男,50岁,因下腹部胀痛不适伴腹围增大20余天来诊,无肉眼血尿。查体:心肺阴性,腹稍隆,下腹部触及一大小约4 cm×4 cm的包块,质硬,移动度差,界尚清,轻压痛,无反跳痛,移动性浊音(+)。辅检:血CEA 41.4 ng/ml,CA19-9 3 521.0U/ml;腹水CEA>1 000.0 ng/ml,CA12-56 346.0 U/ml,CA19-9 9 477.0 U/ml。CT检查:膀胱上方见类圆形团块影、密度不均、边缘见多发环
Male patient, 50 years old, due to lower abdominal pain discomfort with abdominal enlargement more than 20 days to diagnose, no gross hematuria. Physical examination: cardiopulmonary negative, belly slightly, the lower abdomen touched a mass of about 4 cm × 4 cm mass, hard, poor mobility, boundary Shangqing, light tenderness, no rebound pain, dullness of movement (+ . Auxiliary tests: blood CEA 41.4 ng / ml, CA19-9 3 521.0 U / ml; ascites CEA> 1 000.0 ng / ml, CA12-56 346.0 U / ml, CA19-9 9 477.0 U / ml. CT examination: see the top of the bladder round class shadow, uneven density, see the edge of multiple rings