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1临床资料病例1:患者男,45岁,因无痛性全程肉眼血尿6日就诊。左附睾结核行左附睾切除术10年,高血压病史若干年。右肾区叩击痛(+),双肾未触及,右上腹压痛(—)。CT示:右肾肿物伴钙化。行肾癌根治术,剖面见肾大部为肿物所占据,仅存少量正常肾实质,下极见大小不等腔隙,腔壁较厚、较硬,腔内可见脓汁及干酪样物质(图1)。病理回报:肾腺癌
1 clinical data Case 1: male patient, 45 years old, due to painless whole eye hematuria 6 treatment. Left epididymis tuberculosis left epidural excision for 10 years, history of hypertension for several years. Right kidney area percussion pain (+), the kidneys did not touch, right upper quadrant tenderness (-). CT shows: Right kidney tumor with calcification. Renal cancer radical surgery, the section of the kidney to see most of the mass occupied by the tumor, only a small amount of normal renal parenchyma, the next most see the size range of lacunar, wall thicker, harder cavity visible pus and caseous material (figure 1). Pathological return: renal adenocarcinoma