多囊性肾瘤1例
Journal of Minimally Invasive Urology（2021）
Abstract
1 临床资料
患者,女,28岁.因"间歇性无痛性全程肉眼血尿10天"来院就诊.患者无痛性全程肉眼血尿伴血凝块,小便梗阻并不适,及时给予留置尿管并间断膀胱冲洗.查体:未见明显异常.尿常规提示:红细胞370.9个/μL,上皮细胞50.4个/μL;尿脱落细胞学:发现少许可疑肿瘤细胞;女性肿瘤标志物:CA-12560.30 U/mL;SCC 2.10μg/L.肾扫描提示 GFR:左肾 48.54 mL/min,右肾22.69 mL/min;双肾磁共振+增强提示:右肾下极、肾下盏肾盂及输尿管近端病变,性质为良性,炎性病变可能(图1);女性泌尿系CT平扫+增强提示:右肾至右输尿管上段占位,多考虑移行上皮来源恶性肿瘤,右肾积水(图2).
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