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肾母细胞瘤小儿多见,成人较为少见,现将我院一例报告如下: 患者女,38岁,浙江人。右上腹部被碰撞后发现肿块二月。 体检:右乳房中外限可触及6×5cm大小肿块,质中,结节状、活动,与皮肤粘连,无触痛。同侧腋下淋巴结肿大。右上腹部肋缘下腋前线可触及16×15×9cm大小肿块,质中,有触痛,境界尚清,略可活动。 肾功能检查未见异常。B型超声检查为右肾肿瘤。肾盂造影;显示右上腹肿块。 术前临床诊断:慢性化脓性乳腺炎,右肾肿瘤。
More common in children with Wilms tumor, more common in adults, now a case report of our hospital as follows: Female patient, 38 years old, Zhejiang. The right upper abdomen was found after the collision was mass in February. Physical examination: the right and left breast can reach the size of 6 × 5cm tumor mass, nodular, activities, adhesion with the skin, no tenderness. Ipsilateral axillary lymph nodes. Right upper quadrant under the costal margin axillary line can reach the size of 16 × 15 × 9cm mass, quality, tenderness, the real world is clear, slightly active. No abnormal renal function tests. B-mode ultrasound examination of right kidney tumors. Pyelography; showed right upper quadrant mass. Preoperative clinical diagnosis: chronic suppurative mastitis, right kidney tumor.