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肾盂移行细胞癌比较常见,肾的纤维肉瘤比较少见,二者同时并存于同一侧肾脏者更为少见。本文报告一例如下。 患者男,70岁,因反复左腰部疼痛二月余,左上腹包块伴尿频、尿急、尿痛,偶见血尿一月余入院。检查:左上腹部触及约20×15cm包块,触痛,左肾区叩击痛阳性。静脉肾盂造影及B超检查均提示:左肾多发性结石并积液,左肾无功能。手术所见:左肾大小约20×15×8cm,囊性,内有积液约2200ml,结石数粒,肾与周围组织无明显粘连,将左肾切除。术后临床诊断:左肾多发结石并肾盂肾盏积液。术后伤口愈合,患者自动出院。
More renal pelvis transitional cell carcinoma, renal fibrosarcoma is relatively rare, both coexist in the same side of the kidney are more rare. This article reports an example below. Male patient, 70 years old, due to repeated left lower back pain in February, the left upper quadrant with frequent urination, urgency, dysuria, occasional hematuria more than a month hospitalization. Check: touch the left upper abdomen about 20 × 15cm mass, tenderness, left kidney area percussion pain positive. Intravenous pyelography and B-ultrasound have prompted: multiple left renal tuberculosis and effusion, left kidney no function. Surgical findings: the size of the left kidney about 20 × 15 × 8cm, cystic, there are about 2200ml effusion, a few stones, kidney and surrounding tissue no obvious adhesions, the left kidney resection. Postoperative clinical diagnosis: multiple left kidney stones and renal pelvis calyceal effusion. After the wound healing, patients were discharged automatically.