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蒋××,男,73岁,上海纺织工业局第二医院住院号147656。患者近一年来出现无痛性血尿,近日尿闭4小时,来院求治。右输尿管插管,导尿10ml血性,急诊送癌细胞检查。涂片(图1)中见有较多成堆细胞,核呈椭圆形,浆互相融合,边界不清。另有较少的细胞,核大异型,染色质分布不均,边缘不规则,核及浆内有空泡。涂片背景见有较多细胞。根据上述细胞像,进行了讨论:
Chiang × ×, male, 73 years old, the second hospital of Shanghai Textile Industry Hospital No. 147656. Patients with painless hematuria over the past year, recent urinary closure for 4 hours to hospital for treatment. Right ureter intubation, catheterization 10ml bloody, emergency delivery of cancer cells. Smears (Figure 1) see more piles of cells, the nucleus was oval, plasma fusion, the border is unclear. In addition, there are fewer cells, large nucleus, uneven chromatin distribution, irregular edges, vacuoles in the nucleus and plasma. See the smear background with more cells. Based on the above cell images, we discuss: