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患者男性,49岁,痰中带血20年,10天前胸透发现右肺块状阴影.既往每天吸烟1包。入院后摄胸片不右肺上叶前段内有一圆形肿块,边缘较光滑,向肺门呈喷火口样改变。纤维支气管镜刷片找到退变的癌细胞。B 超检查提示右肾下极有占位性病变,穿刺活检找到异形细胞。行右肾切除及右肺中、下叶切除术。病理检查:肾下极外侧皮质部隆起一肿块,大小约8×5.5×4cm,剖面见到三个相连的大囊,囊内有实性组织,内含许多密集的微小囊腔。镜检示囊肿组织
The patient was male, 49 years old, with blood in his eyes for 20 years. Ten days before chest thorax, a blocky shadow of the right lung was discovered. He had previously smoked 1 packet each day. After admission, the chest radiograph did not have a round mass in the anterior segment of the right upper lobe. The margin was smooth and the mouth of the hilar was spit-like. Fiberoptic bronchoscope brush to find degenerating cancer cells. The B-ultrasound revealed that the right kidney had a space-occupying lesion, and a needle biopsy found abnormal cells. Right kidney resection and right lung middle and inferior lobectomy. Pathological examination: A swelling of the lateral cortex of the infrarenal pole, a size of about 8 × 5.5 × 4cm, three connected large capsules seen in the profile, the capsule has solid tissue, containing many dense microcapsule cavity. Microscopic examination of cysts