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患者,女,58岁。以体检发现双肾占位并肺转移2周入院。患者2周前行体检发现双肾区肿物,双肺多发结节,收入我院。患者无血尿,腰痛,腹部包块等,无咳嗽,咳痰,喀血。既往体健。查体:气管居中,甲状腺右叶可及一2cm×1cm肿物,边界清,表面光滑,质地硬,活动度差,无压痛。双肺呼吸音稍粗,未及干湿口罗音。泌尿系统专科查体未及明显异常。化验检查血常规白血病为3.76×109/L,其余正常,尿常规未见异常。院前超声示双肾
Patient, female, 58 years old. Physical examination found double occupancy and lung metastasis 2 weeks hospitalization. Two weeks before the patient found the kidneys check the physical examination, multiple pulmonary nodules, income in our hospital. Patients without hematuria, back pain, abdominal mass, etc., no cough, sputum, blood card. Past physical health. Physical examination: tracheal center, the right lobe of the thyroid can be a 2cm × 1cm tumor, clear boundary, the surface is smooth, hard texture, poor mobility, no tenderness. Breath sounds slightly thick lungs, wet and dry oral rales. Urology specialist physical examination and the obvious abnormalities. Laboratory tests for blood leukemia 3.76 × 109 / L, the remaining normal, no abnormal urine. Prehospital ultrasound showed kidneys