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名称: | |
描述: | |
姓 名: | ××× | 性别: | 男 | 年龄: | 67岁 |
标本名称: | 右肾及输尿管肿物 | ||||
简要病史: | 患者,男,67岁,因腹胀、尿频半月入院,CT提示右肾及右输尿管肿物,行手术切除右肾、右输尿管并送检。 | ||||
肉眼检查: | 肾组织12cm*8cm*7cm,表面呈结节状,沿最大切面切开,见肾盂缩小、变形,肾实质内多个直径约3cm大小的灰白、灰黄结节,输尿管长约15cm,距残端2cm处见输尿管增粗4cm*2cm*2cm,切开见管壁增厚,呈灰白色。 |
lfl001200546 离线
stevenshen 离线
Nice pictures! Both ureter and kidney (pelvic) tumors are high grade urothelial carcinoma with focal squamous differentiation. Ureteral tumor appears to be invasive into subepithelial tissue and superficial muscularis propria; however, no definitive invasion is seen for renal tumor based on the pictures. I think these tumors are most likely separate primaries, which are not uncommon findings in urinary tract. More slides or sections might be helpful to determine the renal parenchymal or renal sinus fat invasion. Thanks.
liziqiang88 离线