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1 临床资料 患者,女,36岁,因右侧腰部及右上腹部疼痛1年余加重3月入院。疼痛呈持续性隐胀痛,向会阴部放射。无肉眼血尿,无脓尿,无发热。体查:右上腹饱满,局限性隆起,压痛,无反跳痛,右上腹肋缘下可扪及20cm×15cm×18cm大小之肿块,呈圆球形,质中等硬,边界清,表面光滑,不活动,与皮肤及腹壁无粘连,触压痛明显。CT片示:右肾肝之间有一巨大混杂密度肿块影,最低CT值为-83.8HU,最高CT值为23HU,病灶包膜完整,内有大量结构紊乱的条索状影,呈“破网状改变”,右肾前
1 Clinical data Patients, female, 36 years old, due to the right side of the waist and right upper quadrant pain more than 1 year admitted to hospital in March. Pain was persistent pain, radiation to the perineum. No gross hematuria, no pyuria, no fever. Physical examination: full of right upper quadrant, limitations uplift, tenderness, no rebound tenderness, palpable mass of 20cm × 15cm × 18cm in the right upper quadrant of the abdomen, spherical, medium-hard, clear boundary, smooth surface, not Activities, no adhesion with the skin and abdominal wall, tender touch obvious. CT film showed: between the right kidney and liver there is a huge mixed density mass, the lowest CT value of -83.8HU, the highest CT value of 23HU, complete lesion capsule, there are a large number of structural disorder cord-like shadow was “broken net Like change ”, right kidney before