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患者女性,39岁。无明显诱因左侧腰部酸钝痛2年余,以劳累后及晨起时加重,与季节和气候变化无关。无尿频、尿急、尿痛及血尿。查体:无特殊阳性体征。多次检查血沉、血、尿常规及腰部X线摄片均无异常发现。临床按“慢性腰肌劳损”对症治疗无效。于1994年9月21日在某医院健康检查时B超发现左肾上极约3cm×3.4cm实质性包块。CT诊断:左肾肿瘤。行左肾切除术,术中见左肾上极约3cm×3cm大肿块,形状不规则,表面欠光滑,质硬,周围淋巴结无肿大,行左肾切除及周围淋巴结送检。病理报告:肾癌(透明
Patient female, 39 years old. There is no obvious incentive to the left lumbar acid dull pain more than 2 years, after exertion and early morning aggravate, and the season and climate change has nothing to do. Urinary frequency, urgency, dysuria and hematuria. Physical examination: no special positive signs. Repeated check ESR, blood, urine and waist X-ray showed no abnormalities. Clinical press “chronic lumbar muscle strain ” symptomatic treatment is invalid. On September 21, 1994 in a hospital health examination B-found on the left kidney on the pole about 3cm × 3.4cm substantive mass. CT diagnosis: left kidney tumor. Line left nephrectomy, intraoperative see the left kidney, about 3cm × 3cm large tumor, irregular shape, the surface is less smooth, hard, no swelling around the lymph nodes, left nephrectomy and lymph nodes around the submission. Pathology report: Kidney cancer (transparent