患者信息: 38歲

  • 2個月
    Negative for epithelial cell abnormality
    Note:a negative cytological result should not preclude tissue biopsy if this result
    Does not correlate with clinical impression
    Microscopic description
    The urothelial cells are bland and benign looking. No significant inflammatory cells
    And no malignant cells are present
    No abnormal calcification in abdomen
    Increased bowel gas without significantly dilated intestinal loops.
    Degenerative joint disease of visible spin with spurs formation
    Impression:
    1. urinary bladder anterosuperior wall polypoid tumor 1.9cm.Suggest further evaluation.
    2. Left renal tiny stone
    3. Bilateral renal cysts
    4. LLL patchy/nodular ground-glass opacities. Suspect inflammatory/infection process or others
    CT of the abdomen without and with contrast medium is performed from diaphragm to the plevis cavity
    Imaging findings
    Liver:no definite space occupying lesion identified
    Spleen:unremarkable
    Biliary system:no evidence of bile duct dilatation
    Pancreas: unremarkable
    Adrenal glands: unremarkable
    Urinary system:urinary bladder anterosuperior wall polypoid tumor 1.9cm. No significant perivesicle infiltration or enlarge LN. Suggest further evaluation
    Left renal tiny stone
    Bilateral renal cysts.
    GI system: unremarkable
    Lymph node: unremarkable
    Musculoskeletal: unremarkable

    Orthers: LLL patchy/nodular ground-glass opacities. Suspect inflammatory/infection process or others
    請問
    1.開刀方式?最好的開刀方式?達文西?
    2.開刀後風險及預後
    3.膀胱未來的功能是否正常
    4.是否有擴散到其他器官
    5.住院期間的時間
    6.不開刀的風險
    7.開完刀後續治療方式
    8.如何判斷是良性或惡性

    2014-05-09 17:31:57

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