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患者,女,23岁。因“右腰部疼痛伴低热1个月”于2009年8月入院。近1个月来体重下降4kg。体检:贫血消瘦貌,全身浅表淋巴结未触及肿大,右腹部可触及大小约10 cm×9 cm质硬、活动度差的肿块,局部有轻压痛。右肾区轻叩痛。X线胸片示右胸膜腔包裹性积液。超声提示右肾中下极有不规则包块,大小约11.1 cm×9.2 cm×7.4cm,内部回声不均,多考虑为右肾癌并侵犯下腔静脉的可能;腹膜后大血管周围有多个低回声结节,最大约1.6 cm×1.2 cm。静脉尿路造影示右肾占
Patient, female, 23 years old. Due to “right lower back pain with fever 1 month ” admitted in August 2009. Nearly 1 month weight loss 4kg. Physical examination: Anemia and thin appearance, systemic superficial lymph nodes did not touch the enlargement, the right abdomen can reach the size of about 10 cm × 9 cm hard, poor mobility of the tumor, local mild tenderness. Right kidney area tapping pain. X-ray showed right pleural cavity encapsulated fluid. Ultrasonography prompted the middle and lower right kidney has very irregular mass, size of about 11.1 cm × 9.2 cm × 7.4cm, internal echo uneven, more consideration for the right renal cell carcinoma and violations of the inferior vena cava may be; around the retroperitoneal large vessels A hypoechoic nodule, maximum about 1.6 cm × 1.2 cm. Intravenous urography showed right kidney accounted