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患者男,67岁,因体检泌尿系彩超发现右肾占位性病变1周入院。患者无血尿,无腰痛,无尿频、尿急、尿痛及发热。体检:双肾区无压痛及叩击痛,双侧输尿管走行区无压痛,膀胱区无隆起、无压痛;外生殖器发育正常,睾丸、附睾无异常,既往体健。入院前泌尿系彩超示右肾中部可见3.3cm×3.8cm中等回声结构,周围可见血管绕行,提示占位性病变。双肾CT平扫+强化示右肾占位性病变,考虑为肾癌(图1)。临床诊断为左肾肿瘤,肾癌可能
Male, 67 years old, was admitted to the hospital for a week due to a physical examination of urinary color Doppler ultrasound. Patients without hematuria, no back pain, no urinary frequency, urgency, dysuria and fever. Physical examination: There are no tenderness and percussion pain in the kidney area, no tenderness in the bilateral ureteric walking area, no swelling in the bladder area, no tenderness, normal development of the external genitalia, no abnormalities in the testes and epididymis, and previous physical health. Urinary tract ultrasound before admission showed that the middle of the right kidney visible 3.3cm × 3.8cm medium echo structure around the visible blood vessels bypass, suggesting that space-borne lesions. Dual-kidney CT scan showed enhanced right renal mass lesions, considered as renal cell carcinoma (Figure 1). Clinical diagnosis of left kidney cancer, kidney cancer may be