论文部分内容阅读
患者男,67岁。因左侧腰腿疼痛一周,体检发现左上腹巨大包块,无尿频、尿急、尿痛,无血尿,无发热、腹痛。肾脏CT:左肾上极巨大囊实性占位,考虑囊性肾癌。肾脏MR平扫+增强:左肾实质见混杂团块状长T1、稍长T2信号,左肾上前方见巨大囊性稍短T1、长T2信号,左肾盂、肾盏扩张。增强后左肾实质病灶轻度不均匀强化,左肾上极包膜连续性中断,左肾上前方见巨大囊性病灶未见明显
Patient male, 67 years old. A week because of pain on the left waist and leg, physical examination found a huge mass of the left upper quadrant, no urinary frequency, urgency, dysuria, no hematuria, no fever, abdominal pain. Kidney CT: The left upper kidney capsule occupies a very large, consider cystic renal cell carcinoma. Kidney MR scan + enhancement: The left renal parenchyma mixed lumps of long T1, slightly longer T2 signal, see the left front of the giant cystic slightly shorter T1, T2 signal, left renal pelvis, calyx expansion. Enhancement of the left renal parenchymal lesions mild heterogeneous enhancement, the left renal capsule on the continuity of interrupted, the upper left kidney see a huge cystic lesions no significant