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肾母细胞瘤是小儿高发恶性肿瘤,亦可见于任何年龄。15年中,我院共收治4例,报道于后。例1男,3岁。发热三日,伴食欲不振。体检:T 40.5℃。心肺无异常。腹软,右上腹可触及一卵圆形拳头大包块,质硬,固定,表面光滑。肝脾未触及。入院诊断:腹部肿块待查。化验:WBC 7.0×10~9/L.N 0.68、L 0.26、M 0.04、E 0.02;尿常规:蛋白(-)、红细胞少、白细胞(+)、上皮细胞(+)。经对症处理,体温正常,但肿块仍无改变。故行剖腹探查。术中见右肾下极一11cm×9.5cm具有包膜肿块。与肾分界不清。行右肾摘除术。病
Wilms’ tumor is a high incidence of malignant tumors in children, can also be found at any age. In 15 years, our hospital received a total of 4 cases, reported later. Example 1 male, 3 years old. Fever for three days, with loss of appetite. Physical examination: T 40.5 ℃. No abnormal heart and lung. Abdomen soft, right upper quadrant can reach an oval fist large mass, hard, fixed, smooth surface. Liver and spleen not touched. Admission diagnosis: abdominal mass to be investigated. Laboratory: WBC 7.0 × 10 ~ 9 / L.N 0.68, L 0.26, M 0.04, E 0.02; urine routine: protein (-), less red blood cells, white blood cells (+), epithelial cells (+). After symptomatic treatment, body temperature is normal, but the mass remains unchanged. So the line laparotomy. Intraoperative see the right lower kidney electrode 11cm × 9.5cm with an envelope mass. Unclear boundaries with the kidney. Right kidney removal surgery. disease