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病例:女,11岁。左上腹阵发性疼痛两天入院。查体:左上腹可触及拳头大小肿块,边界不清,固定,实性感,局部压痛。实验室各项检查均正常。B 超:左上腹腔肿物,性质待定。X 线平片显示左上腹软组织阴影,密度较高,与周围组织界线不清,未见钙化病灶。静脉肾盂造影:右肾及输尿管显示正常,左肾轻度积水,肾盂与输尿管上段受压向外侧移位,肿块范围约10cm×8cm,肿块中心平第二腰椎。X 线诊断:左腹腔软组织肿物,肾脏占位性病变。手术所见:肿瘤位于腹膜后左肾
Case: Female, 11 years old. Paroxysmal pain in the left upper quadrant was admitted to the hospital for two days. Physical examination: The left upper abdomen can touch the fist size lump, the border is not clear, fixed, real sexy, local tenderness. All tests in the laboratory are normal. B super: left upper abdominal mass, nature to be determined. The X-ray plain film showed a shadow of the soft tissue in the left upper quadrant, a high density, and an unclear boundary with the surrounding tissue. No calcification lesions were seen. Intravenous pyelography: Right kidney and ureter showed normal, left kidney light water, renal pelvis and upper ureter pressure displacement to the outside, mass range of about 10cm × 8cm, the center of the tumor flat second lumbar vertebrae. X-ray diagnosis: left abdominal soft tissue mass, kidney space-occupying lesions. Surgical findings: Tumor located in retroperitoneal left kidney