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1 病历摘要患者,女,25岁,因突觉左腰部胀痛伴恶心呕吐而就医。查体:一般情况尚可,左上腹可触及10×14×15cm大小质硬包块,表面光滑,左肾区叩击痛(+)。B超示:左肾明显增大,失去正常形态,左肾上极肾盏分离27mm,下极见100×130×170mm大小的混合性肿块,以实质性图象为主,内见多个不规则液性暗区。IVP示:右肾输尿管正常,左肾未显影,左肾区见一片均匀密度增高影,未见钙化。尿常规:阴
Patient, female, 25 years old, was admitted to hospital for her sudden left lower back pain and nausea and vomiting. Physical examination: the general situation is acceptable, the left upper abdomen can reach the size of 10 × 14 × 15cm hard mass, the surface smooth, peristalsis of the left kidney area (+). B ultrasound showed: the left kidney was significantly increased, loss of normal morphology, the left kidney on the calyx isolated 27mm, the most extreme 100 × 130 × 170mm mixed size of the tumor, with substantive images, see a number of internal Rule liquid dark area. IVP shows: Right kidney ureter is normal, the left kidney is not developed, the left kidney area to see a uniform density increased shadow, no calcification. Urine routine: Yin