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成人肾母细胞瘤是成年人肾脏罕见的肿瘤。我院30年来见有成人肾肿瘤201例,肾母细胞瘤2例,约占成人肾肿瘤的0.99％,兹整理报告如下: 例1 男,55岁,因一月来数次血尿入院。无尿频、尿急及尿痛。静脉泌尿系造影左肾不显影。肾图左肾无功能。术前血压140/80毫米汞柱,GPT160～200单位,尿素氮20 mg％,TTT正常,白蛋白/球蛋白为3.02/2.82,白细胞总数15000,杆状11,分叶78,淋巴5,单核6。少数白细胞内有轻度中毒现象。检查双肾未触及,无压痛及叩击痛。入院9天后行左肾切除,术中见左肾肿大,上极凸出,表面尚光滑,输尿管上段增粗,肾与周围轻度粘连。
Adult Wilms tumor is a rare tumor in adult kidney. In our hospital over the past 30 years to see 201 cases of adult renal tumors, nephroblastoma in 2 cases, accounting for 0.99% of adult renal tumors, the following is a summary of the report: A male, 55 years old, due to several January hematuria hospitalized. Frequent urination, urgency and dysuria. Venous urography left kidney is not imaging. Kidney chart left kidney no function. Preoperative blood pressure 140/80 mm Hg, GPT 160-200 units, urea nitrogen 20 mg%, TTT normal, albumin / globulin was 3.02 / 2.82, the total number of leukocytes 15000, rod 11, leaf 78, lymph 5, single Nuclear 6. A small number of white blood cells have mild poisoning. Check the kidneys did not touch, no tenderness and percussion pain. Nine days after admission, the left nephrectomy was performed. During the operation, the left kidney was swollen, the upper pole protruded, the surface was smooth, the upper ureter was thick, and the kidneys were slightly adhered to the surrounding area.