Hsiao Hsi-Lin, Chang Tu-Hao, Wu Wen-Jeng, Huang Chun-Hsiung
Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung Medical University, Kaohsiung, Taiwan.
Kaohsiung J Med Sci. 2007 Nov;23(11):584-9. doi: 10.1111/j.2410-8650.2007.tb00002.x.
A 66-year-old patient was seen at the outpatient department with the chief complaints of recent-onset painless gross hematuria, poor appetite and body weight loss. The patient had a history of bilateral orchiectomy for congenital bilateral cryptorchidism. Hypospadias was noted during physical examination. Laboratory assessment revealed hematuria and pyuria. Abdominal ultrasonography and imaging studies showed a left renal mass. Radical nephrectomy was performed on the patient and the pathology report revealed Wilms' tumor (nephroblastoma). The patient underwent chemotherapy after surgery and no tumor recurrence was noted after 8 months of regular follow-up.
一名66岁患者因近期出现无痛性肉眼血尿、食欲减退和体重减轻为主诉就诊于门诊。该患者有先天性双侧隐睾症行双侧睾丸切除术史。体格检查发现尿道下裂。实验室检查显示血尿和脓尿。腹部超声及影像学检查显示左肾肿块。对该患者实施了根治性肾切除术,病理报告显示为肾母细胞瘤。患者术后接受了化疗,规律随访8个月后未发现肿瘤复发。