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老年肾脏炎性肌纤维母细胞瘤1例

Inflammatory myofibroblastic tumor of the kidney in the elderly: one case report
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摘要 患者 男性,66岁。因“体检发现左肾肿块2月”入院。查体:肾区无叩击痛。检验:肿瘤系列阴性 尿隐血(+)。肾脏MRI:左肾中极后部实质内结节状异常信号,相对肾实质T 1WI呈等信号、T 2WI+FS呈低或稍低信号、DWI呈高信号影,内见小条片状液化坏死区,边缘见条片状T 1WI等稍低、T 2WI低信号影,增强后皮质期病灶轻微强化,髓质期持续性明显强化,边缘模糊不清,范围约2.1cm×3.4cm,其后缘与左侧腰方肌分界不清;左侧肾后筋膜增厚(图1-5)。诊断:左肾中极后部实质性肿块,考虑恶性肿瘤(乳头状肾癌)侵犯左侧腰方肌。
出处 《医学影像学杂志》 2018年第7期1150-1150,1174,共2页 Journal of Medical Imaging
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