Pastor Navarro Teresa, Moratalla Charcos Luz Maria, Osca Garcia Jose Manuel, Gil Salom Manuel
Urology Department, University Hospital Doctor Peset, Valencia, Spain.
Arch Esp Urol. 2012 Jul-Aug;65(6):633-5.
To report a case of a right hypochondrium giant mass in a 40-year-old patient.
We report the case of a 40 year-old male referred to our Department because of right hypochondrium pain and increased abdominal perimeter. Radiological examination showed a 30 × 24 × 20 cm retroperitoneal mass, dependent on the upper pole of the right kidney.
We performed radical nephrectomy through a mid line laparotomy. The pathological analysis described it as a clear cell renal carcinoma pT2bN0M0.
There are few reported cases of renal carcinomas with intraparenchymal bleeding exceeding 20 cm, the largest one exceeding 10 kg, and they usually show a good prognosis.
报告一例40岁患者右季肋部巨大肿块的病例。
我们报告一例40岁男性因右季肋部疼痛和腹围增大转诊至我科。影像学检查显示一个30×24×20 cm的腹膜后肿块，附着于右肾上极。
我们通过中线剖腹术进行了根治性肾切除术。病理分析将其描述为透明细胞肾细胞癌，pT2bN0M0。
肾实质内出血超过20 cm、最大超过10 kg的肾癌报道病例较少，且通常预后良好。
