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患者男性,49岁。因间歇性无痛性血尿一周于1992年6月24日入院。查体:全身表浅淋巴结无肿大,心尖搏动在右侧第五肋间锁骨中线内0.5cm,双肺阴性,肝脾未触及,右肾区触及一9cm×7cm×6cm的包块,质硬,活动度尚可,双肾区无叩击痛。血常规、尿常规及肝肾功能检查均在正常范围内.心电图示右位心。胸片示心脏及大血管向右侧完全转位,双肺未见转移灶。B超:肝脏位左侧,脾脏位右侧,示腹部内脏转位;右肾下极见一8.5cm×7cm×6cm的实质性占位,提示为右肾肿瘤。静脉肾盂造影及腹部平片:右肾体积增大,下盏破坏
Male patient, 49 years old. Due to intermittent painless hematuria a week in June 24, 1992 admission. Physical examination: the whole body superficial lymph nodes without swelling, apical beating in the right intercostal clavicle midline 0.5cm, lung negative, liver and spleen not touched, the right kidney area touched a 9cm × 7cm × 6cm mass Hard, activity is acceptable, no perineal area percussion pain. Blood, urine and liver and kidney function tests were within the normal range.Electrocardiogram showed right centroid. Chest radiograph showed complete transposition of the heart and large blood vessels to the right, no metastases in both lungs. B super: the left side of the liver, spleen right side of the abdominal visceral transposition; the right kidney a very common 8.5 cm × 7cm × 6cm substantial occupancy, suggesting that the right kidney tumors. Intravenous pyelography and abdominal plain film: the right kidney volume increases, the next light damage