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患者女,52岁。1年前无明显诱因出现右侧腰部胀痛,间歇性发作,改变体位疼痛无明显减轻,无血尿、脓尿,无尿频、尿急、尿痛,无排尿中断。体格检查:体温36.5℃,脉搏79次/分,呼吸19次/分,血压122/78 mmH g;神志清楚,对光反射灵敏;双肺呼吸音清,未闻及干湿啰音;心律齐,未闻及病理性杂音;腹平软,无压痛及反跳痛,肠鸣音正常;双下肢无水肿,全身浅表淋巴结未触及明显肿大。CT平扫:右侧肾盂内见椭圆形稍高密度肿块影,CT值51 HU,大小约为33.1 mm×20.8 mm,病灶边界清楚(图1)。CT增强扫描:肾皮质期肿块呈明显均匀强化,CT值126 HU
Female patient, 52 years old. 1 year ago no obvious incentive to appear on the right side of the waist pain, intermittent seizures, no significant reduction in body position pain, no hematuria, pyuria, no urinary frequency, urgency, dysuria, no urination interruption. Physical examination: body temperature 36.5 ℃, pulse 79 beats / min, breathing 19 beats / min, blood pressure 122/78 mmH g; conscious clear light reflex sensitive; lung breath sounds clear, no smell and wet and dry rales; , No smell and pathological murmur; abdominal soft, no tenderness and rebound tenderness, bowel sounds normal; no lower extremity edema, systemic superficial lymph nodes did not touch the obvious enlargement. CT scan: see the right renal pelvis slightly oval mass mass, CT value 51 HU, size of about 33.1 mm × 20.8 mm, clear boundary of the lesion (Figure 1). CT enhanced scan: renal cortical mass was significantly enhanced, CT value of 126 HU