原发性肾盂神经内分泌癌一例
Chinese Journal of New Clinical Medicine(2019)
Abstract
1病例介绍
患者,男,25岁,因血尿1月余,于2017-12-29来我院就诊,自述尿液中有血块,病程中患者无腰部胀痛不适,无尿频、尿急、尿痛等症状.专科检查:双肾区无隆起,双肾未触及,双肾区叩痛(-),肋脊点、肋腰点压痛(-),季肋点、上输尿管点、中输尿管点压痛(-).耻骨上区无隆起,膀胱位于耻骨下,触痛(-)、压痛(-).影像学检查:全腹部CT增强显示右侧肾盂内异常密度影,占位待排(见图1).泌尿系彩超:肾盂内不均质回声,建议进一步检查.患者于2018-01-04在全麻下行右输尿管镜检查术,备腹腔镜下肾盂癌根治术.
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