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患者男,16岁.因反复左上腹部胀痛、伴发热1月余人院.临床无膀胱刺激征.体检无异常发现.尿常规:蛋白(±),白细胞少许,未见脓球、管型,pH6.0,余(一).B超提示左肾11cm×6cm.轮廓欠规整,于中段肾实质处见约4cm×3.8cm实质性等回声团块,边界欠清,内回声久均.拟诊:左肾癌.术中见左肾略大,肾后侧中部局部变硬,散在钙化点.无坏死,与周围无明显粘连、浸润,行左肾切除.病理检查:肾12cm×5cm×5cm大,肾内见一3.5cm×2.5cm的不规则黄色区,切
Patients male, 16 years old. Repeated upper left abdomen due to pain, with fever more than 1 month hospital. Clinical no bladder irritation. Physical examination was normal. Urine: protein (±), a little white blood cells, no pus ball, tube, pH6.0, I (a) .B ultrasound prompts the left kidney 11cm × 6cm. Contour irregularities, in the middle of the renal parenchyma see about 4cm × 3.8cm substantial echo mass, the lack of border, the long echo within the proposed. Diagnosis: left renal cancer .In the surgery, see the left kidney slightly larger, the middle of the kidney after the middle of the local hardening, scattered calcification .No necrosis, no adhesions with the surrounding, infiltration, left nephrectomy.Pathological examination: kidney 12cm × 5cm × 5cm large, the kidney see a 3.5cm × 2.5cm irregular yellow area, cut