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患者,男,48岁。因间断腰痛一年,加重两个月,于1996年5月27日入我院。入院前一个月在外院经CT等检查证实:右肾癌,右半骨盆转移,并于一个月前(1996年4月27日)行右肾癌切除术。术后病理:右肾透明细胞癌。查体:神清,精神欠佳,轮椅送入病房,浅表淋巴结无肿大;右腹壁切口愈合良,右髂后皮肤红肿,局部皮下隆起,肿块边界不清,质硬,压痛阳性,有动脉搏动感,右髂后上刺触不清。腰椎及右下肢因疼痛而明显活动受限。入院彩色多普勒检查:右髂后上棘与脊柱之间探及不规则实质性弱回声区10cm×6.7cm,深部见骨质破坏,其内未见彩色血流。临床诊断:右肾癌术后骨盆转移。治疗方法:免疫与内分泌结合治疗。α—1b干扰素300~(万U)每日一次肌注,白细胞介素Ⅱ50~(万U)每日一次肌
Patient, male, 48 years old. Due to intermittent low back pain for one year, increased two months, on May 27, 1996 into our hospital. A month prior to admission to hospital by the CT and other tests confirmed: right kidney, right pelvic metastasis, and in a month ago (April 27, 1996) right renal cell resection. Postoperative pathology: right renal clear cell carcinoma. Examination: Shenqing, poor in spirit, wheelchairs into the ward, superficial lymph nodes without swelling; right abdominal incision healed well, right iliac skin irritation, local subcutaneous swelling, tumor boundary is unclear, hard, tenderness positive, there Arterial pulsation, right iliac stab touch. Lumbar spine and right lower limb due to pain and obviously limited activity. Admission color Doppler examination: between the right posterior superior iliac spine and the spine exploration and irregular substantive hypoechoic area 10cm × 6.7cm, see deep bone destruction, which no color flow. Clinical diagnosis: Right renal cell carcinoma after pelvic metastasis. Treatment: Combination of immune and endocrine therapy. α-1b interferon 300 ~ (U) intramuscular once a day, interleukin Ⅱ ~ (UU) once a day muscle