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患者男性,29岁。体检发现左肾占位2个月,伴血压升高(101/145 mmHg)。当地医院超声检查示左肾窦区实质性占位(肾癌?)。之后复查彩超示左肾占位有增大趋势。CT示左肾窦区肿物,分叶状,局部与肾实质分界欠清,大小6 cm×4.6 cm(较前增大)。肾动态显像提示左肾占位伴血流灌注,考虑恶性病变可能性大,肾功能受损。临床考虑肾恶性病变,遂行腹腔镜左肾切除术。
Patient male, 29 years old. Physical examination found that left kidney occupying 2 months, with elevated blood pressure (101/145 mmHg). Local hospital ultrasound showed that the left renal sinus area substantial occupancy (renal cancer?). After reviewing color ultrasound showed that the left kidney occupy an increasing trend. CT showed the left renal sinus area tumor, lobulated, local and renal parenchyma delineation, the size of 6 cm × 4.6 cm (compared with the previous increase). Dynamic renal imaging prompted left renal space-occupying with perfusion, considering the possibility of malignant lesions, impaired renal function. Clinical considerations of malignant nephropathy, laparoscopic radical nephrectomy.