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患者 ,男 ,30岁。因右上腹包块伴疼痛 4个月入院。体检 :一般情况良好 ,无明显消瘦 ,浅表淋巴结无肿大 ,心肺无异常。右上腹肋缘下扪及一大小约 6cm× 4cm的实性包块 ,质硬固定 ,表面光滑 ,无明显压痛。右肾区较左肾区膨隆 ,表面无红肿及溃烂 ,双肾区无明显叩击痛。实验室检查
Patient, male, 30 years old. Due to pain in the right upper quadrant, he was admitted to the hospital for 4 months. Physical examination: Generally good, no obvious weight loss, superficial lymph node enlargement, no abnormal heart and lung. The right upper flank subcostal ridge and a solid mass about 6cm × 4cm, hard fixed, smooth surface, no obvious tenderness. The right kidney area bulges compared with the left kidney area, and there is no swelling and ulceration on the surface. There is no significant percussive pain in the double kidney area. Laboratory inspection