Patient: Patient, 67 years old, male, previously in good physical condition. This condition: 1. Swelling of the left lower limb, which lasted for almost a month. 2. Difficulty in urination, inability to urinate at one time, and bifurcation. (Two years ago, hematuria was occasionally present, but since then the symptoms have not been obvious) 3. Consulted with the hospital and also recommended transferring to the hospital for surgery. 1.Treatment of deep vein thrombosis in the lower extremity was done in the local hospital, and the swelling in the lower extremity has disappeared. 2, CT, ultrasound, imaging: (1) bladder solid occupancy, large prostate body, right hydronephrosis, right upper ureteral dilatation (2) bladder Ca, right ureteral dilatation (3) bladder occupancy lesion, right kidney delayed visualization (4) deep venous flow in both lower extremities, left inner calf very hypoechoic area, right calf vein locally dilated. 1.Can I see you? 2.Can you give some treatment suggestions for the current situation?
Reply: According to the information you provided, the diagnosis needs to be further clarified and the results of pathological examination are needed. Please provide the results of urine detachment cytology examination. If you can tolerate it, it is better to take pathology through cystoscopy to clarify whether it is a tumor of bladder origin and determine the treatment plan.