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病人男性,45岁,因右侧腰腹部疼痛1个月于2008-05-03入院。病人1个月前出现右侧腰腹部疼痛,无发热、腹泻、血尿等。既往健康状况良好,有吸烟及酗酒史。腰部CT示右肾癌,胸部CT示右肺癌。先行右肾切除术,术后病理:右肾转移性小细胞未分化癌,免疫组化:CD99(+)、CK(+)、CK7(-)、CD20(-)、CD3(-)、CD79x(-)、CD45R0(-)、CD10(-)、Bcl-2(+++)、Ki67阳性细胞数在70%~80%之间。术后确定诊断:右肺小细胞肺癌并右肾转移,术后1个月左右出现左肩部疼痛,行PET-CT检查提示:
Male patient, 45 years old, due to right side of the waist and abdomen pain 1 month in 2008-05-03 admission. 1 month ago, the patient appeared on the right side of the waist and abdomen pain, no fever, diarrhea, hematuria and so on. Past good health, history of smoking and alcohol abuse. Right waist CT showed right kidney cancer, chest CT showed right lung cancer. Right anterior nephrectomy: Pathology of right kidney metastatic small cell undifferentiated carcinoma, Immunohistochemistry: CD99 (+), CK (+), CK7 (-), CD20 (-), CD3 (-), CD45R0 (-), CD10 (-), Bcl-2 (+++) and Ki67 positive cells were between 70% and 80%. Postoperative diagnosis: right lung small cell lung cancer and right kidney metastasis, about 1 month after the left shoulder pain, line PET-CT examination prompted: