降结肠转移性肾癌1例

Chinese Journal of Clinical and Experimental Pathology(2020)

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Abstract
患者男性,75岁.因腹泻1个月余就诊,10余年前曾因肾透明细胞癌行左肾根治性切除术.查体:贫血貌,左侧腹部可见一长约15 cm手术切口瘢痕.左侧腹部轻压痛,无反跳痛.粪便常规:红色水样便,RBC满视野/HP.腹部CT检查:(1)降结肠团块状占位,考虑降结肠癌;(2)腹膜后多发团块状占位,多为淋巴结转移;(3)脾脏内类圆形低密度影,不除外转移瘤.
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