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黄色肉芽肿性肾盂肾炎为少见疾病,国外报道约150例,国内仅有个案报道,且未见同时合并纤维肉瘤样变之病例。现将我院诊治的1例报告如下。病例介绍患者女,24岁,已婚,苗族,农民。因右腰胀痛6月,扪及肿块3月,伴消瘦、乏力、纳差、午后潮热、盗汗、尿黄于1986年9月24日入院。患者半年前感右腰部胀痛不适,不放射,有时小便发黄,并出现尿频、尿急、尿痛,无肉眼血尿。3月前自己在右上腹部扪及一拳头大小肿物,出现乏力、纳差、盗汗、午后潮热、逐渐消瘦,经外院治疗无好转入院。
Yellow granulomatous pyelonephritis is a rare disease, about 150 cases of foreign reports, only a single case reported, and no cases of fibrosarcoma at the same time merged with the case. Now I hospital treatment report as follows. Case description Female patient, 24 years old, married, Hmong, peasant. Due to right lower back pain in June, palpable mass in March, with weight loss, fatigue, anorexia, afternoon hot flashes, night sweats, urine yellow in September 24, 1986 admission. Six months ago, the patient felt pain and discomfort of the right lower back and did not radiate. Sometimes urine urinated, urinary urgency, dysuria and no gross hematuria appeared. 3 months ago in the right upper quadrant palpable fist size of the tumor, there fatigue, anorexia, night sweats, afternoon hot flashes, and gradually weight loss, no improvement after hospital admission.