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患者,女,54岁。入院4天前无意中发现左上腹有一包块,无不适,大小便正常。门诊以左上腹包块收住院。体检:一般情况好,血压14.47/9.33kPa(110/70mmHg)。左上腹可触及一5×7cm的包块,无压痛,上界不清,表面不光滑,活动差。血尿常规化验正常。B超示:“右肾正常。左肾区未见肾脏,有一180×120mm暗区,壁厚。左上腹实质性肿块(液化),可能来源于肾。”临床以“左肾肿瘤”手术。术中见为左肾下极巨大肿瘤。探查右肾正常。肿瘤与周围粘连不重,分离后将左肾及肿瘤完整切除。
Patient, female, 54 years old. Inadvertently found a mass of left upper abdomen 4 days before admission, no discomfort, normal urine. Outpatients are admitted to the upper left abdominal mass. Physical examination: Generally good, blood pressure 14.47/9.33kPa (110/70mmHg). A 5×7cm mass can be touched in the left upper abdomen without tenderness, the upper border is unclear, the surface is not smooth, and the activity is poor. Hematuria routine tests are normal. B ultrasound showed: “The right kidney is normal. There is no kidney in the left kidney area. There is a 180 x 120mm dark area with a thick wall. The left upper abdomen has a solid mass (liquefaction), which may originate from the kidney.” Clinically, a “left kidney tumor” operation was performed. In the surgery, it is seen as a huge tumor of the left kidney. Explore right kidney normal. The adhesion between the tumor and the surrounding was not heavy. After the separation, the left kidney and tumor were completely resected.