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患者,男,75岁。因“间歇性无痛性肉眼血尿1个月”入院,无其他症状。血、尿常规正常,肝、肾功能正常,尿细胞学检查阴性。彩色B超示:左侧肾脏肾窦回声分离2.2cm。彩色多普勒显示:左侧输尿管上段扩张,其内可见絮状稍强回声,大小约1.5cm×0.8cm,中下段显示不清。CT示:左输尿管上段占位,考虑恶性肿瘤可能;左肾见直径2.5cm占位性病变。行左输尿管癌根治术+左肾癌根治性切除术。标本所见:肾脏大小10.0cm×7.5cm,见一肿瘤大小2cm×2cm,切面桔黄色伴出血。输尿管上段管
Patient, male, 75 years old. Due to “intermittent painless gross hematuria 1 month ” admission, no other symptoms. Normal blood, urine, liver, kidney function, urine cytology negative. Color B-ultrasound: left renal sinus echo separation 2.2cm. Color Doppler showed: the upper left ureteral dilatation, which can be seen floc slightly stronger echo, the size of about 1.5cm × 0.8cm, the middle and lower segments showed unclear. CT showed: the left upper ureter to occupy, consider the possibility of malignant tumors; see the left kidney 2.5cm diameter occupying lesions. Radical left ureter cancer + radical resection of left renal cell carcinoma. Specimens seen: the size of the kidney 10.0cm × 7.5cm, see a tumor size 2cm × 2cm, cut orange with bleeding. Upper ureteral tube