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例1 女,53岁。上腹隐痛,食后饱胀半年,左上腹包块2周入院。血压21.3/13.3kPa(160/100mm-Hg),左上腹触及16×10cm肿物.钡餐胃肠检查:正位示胃体向右移位,侧位胃底及胃体后壁有一弧形压迹,边缘光滑。腹膜后充气造影示左后腹膜有13×15.5×16×5cm肿物,中央有不规则钙化影。左肾受压,上极扁平,左肾上下极长7cm。静脉肾盂造影:左肾盂、肾盏上缘被压呈弧形。术中见左腹膜后有18×16×10cm肿瘤,包膜完整,下极与左肾上极粘连,肿瘤完整切除。病理诊断:左肾上腺皮质癌(高分化型)。术后定期行噻替派化疗,随访10年健在。 例2 女,16岁。半年前感上腹隐痛,时有呕吐、乏力,左上腹包块入院。左季肋下触及12×10cm肿物。血沉25mm/1h。B超:左肾前上方囊性肿物,与脾、左肾、胰尾联系紧密。腹膜后充气造影及断层提示后
Example 1 Female, 53 years old. Abdominal pain, fullness after eating half a year, 2 weeks left upper quadrant mass admission. Blood pressure 21.3 / 13.3kPa (160 / 100mm-Hg), the left upper quadrant palpable 16 × 10cm mass Barium meal Gastrointestinal examination: positive position shows the right shift of the gastric body, the lateral fundus and gastric wall posterior arcuate pressure Trace, smooth edges. Retroperitoneal pneumoperitoneum showed left peritoneal 13 × 15.5 × 16 × 5cm tumor, the central irregular calcification. Left kidney pressure, very flat, the upper and lower left kidney very long 7cm. Intravenous pyelography: left renal pelvis, calyx on the edge of the pressure was curved. Intraoperative see left retroperitoneal 18 × 16 × 10cm tumor, complete capsule, the lower pole and the left kidney on the very adhesion, complete tumor excision. Pathological diagnosis: left adrenocortical cancer (highly differentiated). After regular thiazide chemotherapy, up to 10 years of life. Example 2 Female, 16 years old. Six months ago feeling upper abdominal pain, sometimes vomiting, fatigue, left upper quadrant mass admission. Leftover rib touch 12 × 10cm tumor. ESR 25mm / 1h. B-super: left renal cystic mass before the top, and the spleen, left kidney, pancreatic tail closely linked. Retroperitoneal pneumonography and tomography prompted