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男,2岁。因右侧腹部包块逐渐增大,门诊拟“右肾胚胎瘤”收住入院。检查:右下腹可触及8×10cm大小包块,质较硬,固定,无压痛,表面光滑,静脉肾盂造影示:右侧肾区见一巨大椭园形软组织块影,约9×10cm大小,边缘光滑,该侧肾盂、肾上盏及上段输尿管均见显影,并向上向内受压变形、移位。肾下盏未见显影,腰推受压向左侧移位弯曲。左侧肾脏、输尿管及膀胱均未见异常。X线印象,右肾胚胎瘤。手术所见:右肾明显增大,将后腹膜顶起,切开后腹膜后见右肾增大约8×9cm,已突破包膜。肾脏与周围组织粘连明显。病理学诊断:右肾胚胎瘤。术后2周肺淋巴转移,1月后
Male, 2 years old. Due to the right side of the abdominal mass gradually increased, outpatient intended to “right kidney embryo tumor” admitted to hospital. Check: right lower quadrant palpable size of 8 × 10cm mass, hard quality, fixed, no tenderness, smooth surface, intravenous pyelogram showed: the right kidney area to see a huge oval soft tissue mass, about 9 × 10cm size, The edge is smooth, the side of the renal pelvis, upper renal calyx and the upper ureter are visible, and upward pressure inward deformation, displacement. No development of kidney under the light, waist push pressure to the left shift bending. Left kidney, ureter and bladder were normal. X-ray imaging, right kidney embryonal tumor. Surgical findings: the right kidney was significantly increased, the retroperitoneal jacked, retroperitoneal incision see the right kidney increased by about 8 × 9cm, has broken through the capsule. Kidney and surrounding tissue adhesion obvious. Pathological diagnosis: right kidney embryonal tumor. 2 weeks after lung lymph node metastasis, after 1 month