發(fā)布時(shí)間：2018-05-08 08:46

  本文選題：左腎上極 + 左側(cè)腎上腺　； 參考：《臨床放射學(xué)雜志》2017年12期

【摘要】：正患者男,65歲,因"體檢發(fā)現(xiàn)左腎旁囊性占位"入院。無(wú)其他臨床癥狀和體征,實(shí)驗(yàn)室檢查無(wú)異常。腹部CT增強(qiáng)掃描示:腹膜后一類圓形稍高密度影,大小約為3.7 cm×4.1 cm,左腎上極輕度受壓,病灶與左側(cè)腎上腺、左側(cè)腎臟及胰腺體、尾部的邊界清晰,其內(nèi)密度均勻,CT值約為50 HU,腫塊無(wú)分葉,腫塊內(nèi)部未見分隔及囊壁結(jié)節(jié)等征象。增強(qiáng)掃描后,腫塊未見明顯強(qiáng)化(圖1~6)。術(shù)前常規(guī)檢查后,患者在全麻下行腹膜后腫物切除術(shù)。術(shù)中見腫物位于左腎上極背側(cè),質(zhì)軟,灰黃
[Abstract]:The 65-year-old patient was admitted to hospital because of the left parafronephric cystic mass found by physical examination. No other clinical symptoms and signs, no abnormal laboratory examination. Abdominal CT enhanced scan showed that the retroperitoneal circle was slightly more dense, the size was about 3.7 cm 脳 4.1 cm, the upper left kidney was slightly compressed, the lesion was associated with the left adrenal gland, the left kidney and the pancreatic body, and the boundary of the tail was clear. The CT value of the mass was about 50 HU.There was no lobular mass, no internal septum and cystic wall nodule. There was no obvious enhancement of the mass after contrast-enhanced scan (Fig. 1, n. 6). After routine preoperative examination, the patient underwent retroperitoneal mass resection under general anesthesia. The tumor was located on the dorsal side of the upper pole of the left kidney during the operation. It was soft and yellowish.
【作者單位】： 浙江省寧波市第一醫(yī)院;
【分類號(hào)】：R656;R816.5

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