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病人男,42岁。因“发现背部无痛性肿块20余年”于2011-03-12入院。近半年,肿块较以前略有增大,无其他不适症状。查体:体温36.5℃,血压120/80mmHg(1mmHg=0.133kPa),左侧背部可触及约12cm×10cm×10cm实性肿块,质韧,轻度压痛,活动度差。腹部CT提示:左背部竖脊肌旁约12cm×10cm×10cm软组织密度灶,密度不均,其内可见点状钙化影,强化扫描病灶呈不均质强化;左肾门下方可见3.9cm×4.5cm类圆形囊实性密度灶,强化扫描实性部分与囊壁呈中度强化(图1)。结论:左背部实性肿瘤,左肾门处囊实性肿块,考虑为恶性肿瘤。
Male patient, 42 years old. Because “found back painless mass more than 20 years ” in 2011-03-12 admission. Nearly six months, the mass slightly increased compared with the previous, no other symptoms. Examination: body temperature 36.5 ℃, blood pressure 120/80 mmHg (1mmHg = 0.133kPa), the left back can touch about 12cm × 10cm × 10cm solid mass, quality toughness, mild tenderness, poor mobility. Abdominal CT prompt: soft tissue density lesions of about 12cm × 10cm × 10cm near the left posterior erector spine muscles, uneven density, which can be seen within the dot-like calcification, enhanced scanning lesions showed heterogeneous enhancement; below the left kidney door can be seen 3.9cm × 4.5 cm class round cystic densification, enhanced solidification of the solid part of the wall and was moderately enhanced (Figure 1). Conclusion: Solid tumors in the left back and cystic masses in the left kidney are considered as malignant tumors.