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患者女,38岁。1988年6月无明显诱因出现左腹部胀痛,并能扪及包块。呈持续性胀痛,不向它处放射,无血尿。曾在当地医院就诊,诊断不明。于1988年12月5日入本院。近6个月来患者体重无减轻,肿块增大不明显。查体:左上腹可触及一质中,无触痛,约拳头大小之包块。尿常规、血沉、肝肾功能、胸片均正常。B超:左肾实质性占位性病变。腹部平片左肾影增大;肾图示左肾肿大,双肾功能正常。CT见肿块与左肾中上极密切相连,CT值为-20～-72Hu,注射造影剂后肿块未见增强,提示左肾占位性病变,考虑畸胎类肿瘤。左肾动脉造影。左肾
Female patient, 38 years old. June 1988 no obvious incentive for left abdominal pain, palpable mass. Was persistent pain, no radiation to it, no hematuria. Have a visit to a local hospital, diagnosis is unknown. December 5, 1988 into our hospital. In the past 6 months, the patient’s weight did not reduce, the mass increased obviously. Physical examination: left upper abdomen can reach a quality, no tenderness, about the size of the fist mass. Urine, ESR, liver and kidney function, chest X-ray are normal. B ultrasound: the left renal parenchymal lesions. Abdominal plain film left kidney shadow increases; renal diagram of the left kidney, renal function is normal. CT see mass in the left kidney and very closely linked to the CT value of -20 ~ -72Hu injection of contrast agent after the mass has not been enhanced, suggesting that left renal space-occupying lesions, consider teratoid tumors. Left renal artery angiography. Left kidney