患者 ,女 ,58岁。因尿道口黑蓝色肿物 2 0年、出血 1 d就诊。肿物开初如黄豆大 ,呈黑蓝色 ,性生活时偶有出血。近 2年来 ,肿物逐渐增大 ;入院前 1 d,肿物因衣裤磨擦发生出血。体检 :一般情况良好 ,尿道外口见一 2 .5cm× 2 .0 cm桑椹样黑蓝色肉阜 ,其表面有活动性出血。远段尿 Patient, female, 58 years old. Due to urethral dark blue tumor 20 years, bleeding 1 d treatment. The beginning of the tumor, such as soybeans, was dark blue, occasionally occasional bleeding sex. The past two years, the tumor gradually increased; 1 d before admission, the tumor due to clothes friction bleeding. Physical examination: the general condition is good, see a 2 .5cm × 2 .0 cm mulberry-like dark blue caruncle outside the urethral orifice, its surface with active bleeding. Distal urine