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患者女性,68岁。体检时超声发现右肾占位。既往体健,无腰痛、肉眼血尿及膀胱刺激症状。超声显示右肾下极高回声结节,考虑为肾癌可能。余脏器及甲状腺未见明显异常。腹腔CT示右肾下极类圆形软组织结节,突出肾轮廓(图1),大小3.5 cm×2.5 cm,CT值37 Hu,增强扫描皮质期明显强化,CT值108 Hu,髓质期强化减低,CT值87 Hu,排泄期CT值83 Hu。诊断:右肾下极占位,考虑肾细胞癌可能。
Patient female, 68 years old. Physical examination when the right kidney ultrasound placeholder. Past physical health, no back pain, gross hematuria and bladder irritation. Ultrasonography showed very high echogenic nodules, renal cell carcinoma may be considered. Yu organs and thyroid no obvious abnormalities. Abdominal CT showed a right subcortical round soft tissue nodule with prominent renal contour (Fig. 1). The size was 3.5 cm x 2.5 cm with a CT value of 37 Hu. The enhanced cortical phase was significantly enhanced with a CT value of 108 Hu and reduced medullary stage , CT value 87 Hu, excretion CT value 83 Hu. Diagnosis: The right kidney under the pole, consider renal cell carcinoma may.