To the Editor: A 68-year-old man presented with proteinuria of 1-year duration. A giant 22 cm × 18 cm fixed mass was found upon abdominal examination. Laboratory testing revealed severe proteinuria (3.0g/24h) and...To the Editor: A 68-year-old man presented with proteinuria of 1-year duration. A giant 22 cm × 18 cm fixed mass was found upon abdominal examination. Laboratory testing revealed severe proteinuria (3.0g/24h) and severe hypoalbuminemia 29g/L (normal range: 40-55 g/L). The patient complained of passing foamy urine for a period of approximately 1 year and that the symptom seemed to worsen in the 20 days before hospital admission. Inflammatory and tumor markers were normal, but contrast-enhanced computed tomography of the abdomen [Figure 1] revealed a giant cystic solid neoplasm extending from the right upper quadrant of the retroperitoneum to the pelvis. A rich supply of blood vessels produced strong enhancement of the tumor surface. The presence of a tumor, proteinuria, and hypoalbuminemia prompted surgical removal of the abdominal mass.展开更多
To the Editor:A 49-year-old woman with a 15-year history of splenectomy due to accident trauma presented with asymptomatic small-sized masses staying at the Douglas fossa in a routine obstetric examination.She was imm...To the Editor:A 49-year-old woman with a 15-year history of splenectomy due to accident trauma presented with asymptomatic small-sized masses staying at the Douglas fossa in a routine obstetric examination.She was immediately admitted into Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine for further evaluation.Abdominal palpation and laboratory tests noted no particular findings.Vaginal ultrasound showed a few unconnected masses of variable size ranging from 1 cm to 4 cm, apart from the uterus.Computed tomography revealed multiple soft-tissue shadows with no enhancement [Figure 1].展开更多
文摘To the Editor: A 68-year-old man presented with proteinuria of 1-year duration. A giant 22 cm × 18 cm fixed mass was found upon abdominal examination. Laboratory testing revealed severe proteinuria (3.0g/24h) and severe hypoalbuminemia 29g/L (normal range: 40-55 g/L). The patient complained of passing foamy urine for a period of approximately 1 year and that the symptom seemed to worsen in the 20 days before hospital admission. Inflammatory and tumor markers were normal, but contrast-enhanced computed tomography of the abdomen [Figure 1] revealed a giant cystic solid neoplasm extending from the right upper quadrant of the retroperitoneum to the pelvis. A rich supply of blood vessels produced strong enhancement of the tumor surface. The presence of a tumor, proteinuria, and hypoalbuminemia prompted surgical removal of the abdominal mass.
文摘To the Editor:A 49-year-old woman with a 15-year history of splenectomy due to accident trauma presented with asymptomatic small-sized masses staying at the Douglas fossa in a routine obstetric examination.She was immediately admitted into Affiliated Hangzhou First People’s Hospital, Zhejiang University School of Medicine for further evaluation.Abdominal palpation and laboratory tests noted no particular findings.Vaginal ultrasound showed a few unconnected masses of variable size ranging from 1 cm to 4 cm, apart from the uterus.Computed tomography revealed multiple soft-tissue shadows with no enhancement [Figure 1].
