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多房囊性肾瘤是肾脏少见的肿瘤,国内仅见5例报告.由于临床与病理方面肾母细胞瘤有相似之处,但治疗与预后差别很大.现报告一例.患者,女,34岁、以左上腹包块1月主诉入院.一月前无明显原因发现左上腹长一包块、查体:左上腹明显隆起,触及一包:13×13×7cm,质硬,活动.心肺无异常,肝脾未触及.化验检查无特殊.CT提示:左肾有一13×13×7cm的占位性病变.疑诊:左肾囊肿或肿瘤.以临床诊断为肾肿瘤于入后第9天行左肾肿瘤切除,术中见肿瘤位于左肾实质内,无包膜,与肾紧密粘连,将肾及肿瘤一并切除.病理检查:左侧肾脏及肿瘤总体积:15×10×7cm,肾大小:10×6×5cm.肿瘤位干肾中段近肾门处实质内,大小:13×13×7cm,呈椭园形,无包膜,触之有囊性感.切开肿物,肾组织被挤压于一侧、最薄处厚
Polycystic kidney disease is a rare tumor in the kidney, only 5 cases were reported in our country.Because of the similarities between clinical and pathological nephroblastoma, the treatment and prognosis vary greatly. , January left the upper abdominal massaccination admitted to hospital.A month ago no obvious reason found a long mass of the left upper quadrant, examination: the left upper abdomen was significantly uplift, touching a package: 13 × 13 × 7cm, hard, activity. Abnormal, liver and spleen not touched. Laboratory tests no special. CT Tip: The left kidney has a 13 × 13 × 7cm lesions. Suspected of: left renal cysts or tumors. The clinical diagnosis of renal tumor on the 9th day after admission Left renal tumor resection, intraoperative see tumor located in the left renal parenchyma, no capsule, and renal adhesion, the removal of the kidney and tumor.Pathological examination: the total volume of the left kidney and tumor: 15 × 10 × 7cm, Kidney size: 10 × 6 × 5cm. The tumor in the middle of the kidney near the renal portal Department of parenchyma, size: 13 × 13 × 7cm, was oval-shaped, non-enveloped, touching a cystic sexy. Tissue is squeezed to the side, the thinnest at the thick