腹膜后Castleman病1例
Journal of Clinical Urology（2013）
Abstract
患者,女,48岁."发现肾肿物5d"收治入院.无腹痛、血尿等不适.体检:神清,精神可,心肺部查体未及明显异常.腹平软,无压痛及反跳痛,未及明显包块,肝脾肋下未及.双肾区叩击痛阴性.双输尿管走行区未及明显压痛.双下肢无水肿.病理征阴性.实验室检查血常规、肝、肾功能、电解质等均正常.尿细胞学检查3次均未见肿瘤细胞.B超检查报告左上腹后腹膜区低回声团,考虑占位,神经来源不完全除外(图1A).双肾CT增强提示左肾盂旁富血供占位(图1B).
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