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患者男性,42岁。因右腰酸痛1个月入院。无肉眼血尿、发热、皮肤潮红、腹泻、哮喘等症状。专科检查:右侧腰腹部可扪及8 cm×10 cm大小包块,质硬,不活动,无明显压痛,双肾区无明显叩痛,双侧输尿管行径区无压痛,膀胱区平坦、无压痛。其他部分未见占位性病变。泌尿系彩超示右肾中上极见中等回声占位,边界清楚,形态规则。CT示右侧肝肾间隙见混杂密度9 cm×8.5 cm大小实性占位灶;增强
Male patient, 42 years old. 1 month due to right upper back pain hospitalized. No gross hematuria, fever, skin flushing, diarrhea, asthma and other symptoms. Specialist examination: palpable on the right waist and abdomen 8 cm × 10 cm in size mass, hard, inactive, no significant tenderness, no obvious percussion pain in the bilateral kidney area, no bilateral tender ureteral pain area, flat bladder area, no tenderness. No other space occupying lesions. Urinary color Doppler ultrasound showed that the right kidney in the very middle of the echo occupy a clear boundary, the rules of form. CT showed the right side of the liver and kidney space to see mixed density 9 cm × 8.5 cm size of the real placeholder; enhanced