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患者,男,65岁。因“体检B超发现右肾实质性占位病变19天”于2012年4月22日入院。患者平素无明显肉眼血尿,夜尿1~2次,无明显排尿困难,无全身或局部疼痛不适。查体:肾区无叩击痛,未触及明显包块。直肠指检前列腺Ⅱ度增生,无压痛,中央沟浅,左侧叶可扪及直径1cm左右质硬结节。PSA为9.99ng/ml。CT检查报告为右侧肾脏上部可见类圆形软组织占位影,大小约35mm×38mm×42mm,平扫密度欠均匀,CT值18
Patient, male, 65 years old. Due to “physical examination B-found substantial right lesion lesions 19 days ” in April 22, 2012 admission. Patients usually no obvious gross hematuria, nocturia 1 to 2 times, no obvious dysuria, no systemic or local pain and discomfort. Physical examination: kidney percussion pain, did not reach the obvious mass. Rectal fingerprints Prostate Ⅱ degree hyperplasia, no tenderness, central ditch shallow, palpable left lobe and diameter of about 1cm hard nodules. PSA was 9.99 ng / ml. CT examination report for the right side of the upper kidney can be seen round soft tissue placeholder, the size of about 35mm × 38mm × 42mm, uneven sweeping density, CT value of 18