Tumoracion Renal
Paciente masculino de 72 años de edad que ingresa por Hipertension Arterial Sistemica, perdida de peso de unas 20 libras durante el ultimo año ( 9,0 kgs ) , con sensación de "masa" que se desplaza por su abdomen, sobre todo en flanco derecho. El paciente es delgado y se palpa la masa que describe.
Entre los antecedentes personales operado de próstata hace unos 16 años e instalación de Marca-pasos definitivo desde hace unos 7 meses, por arritmias.
Al examen eco-sonografico abdominal :
Entre los antecedentes personales operado de próstata hace unos 16 años e instalación de Marca-pasos definitivo desde hace unos 7 meses, por arritmias.
Al examen eco-sonografico abdominal :
Higado,Vesicula, Aorta Abdominal, Pancreas y Bazo normales.
En riñon derecho se aprecia masa quistica simple, localizada en tercio medio, zona cortical, mide 4,6 X 4,5 X 3,7 cm, con volumen de 37,4 ml. En polo superior del riñon se visualiza gran masa solida, heterogenea, hipo-ecogenica, de limites irregulares pero bien definidos, sin refuerzo posterior y con algunas, escasas, micro-calcificaciones en su interior, mide 9,0 x 7,7 x 6,4 cm.
El riñon derecho luce ligeramente desplazado, mide 7,0 x 5,3 x 4,1 cms con volumen de 73,5 ml y el izquierdo 8,3 x 4,8 x 4,1 cm con volumen de 80,0 ml.
Male patient aged 72 who was admitted hypertension, weight loss of 20 pounds over the last year (9.0 kgs), with a sense of "mass" that moves through your abdomen, especially in the right flank. The patient is thin and feels that it describes the mass.
Among the personal history of prostate surgery 16 years ago and installation of a permanent pacemaker for about seven months, for arrhythmias.
The eco-abdominal sonographic examination:
Liver, gallbladder, abdominal aorta, pancreas, and spleen normal.
In right kidney shows a cystic mass, located in the middle third, cortical area, measuring 4.6 X 4.5 X 3.7 cm with a volume of 37.4 ml. Upper pole kidney mass is shown solid, heterogeneous, hypo-echogenic, of irregular but well-defined limits, without posterior enhancement and with some, little, micro-calcifications inside, it measures 9.0 x 7.7 x 6, 4 cm.
The right kidney looks somewhat displaced, measures 7.0 x 5.3 x 4.1 cm with a volume of 73.5 ml, and left 8.3 x 4.8 x 4.1 cm with a volume of 80.0 ml.
En riñon derecho se aprecia masa quistica simple, localizada en tercio medio, zona cortical, mide 4,6 X 4,5 X 3,7 cm, con volumen de 37,4 ml. En polo superior del riñon se visualiza gran masa solida, heterogenea, hipo-ecogenica, de limites irregulares pero bien definidos, sin refuerzo posterior y con algunas, escasas, micro-calcificaciones en su interior, mide 9,0 x 7,7 x 6,4 cm.
El riñon derecho luce ligeramente desplazado, mide 7,0 x 5,3 x 4,1 cms con volumen de 73,5 ml y el izquierdo 8,3 x 4,8 x 4,1 cm con volumen de 80,0 ml.
Kidney Tumor
Male patient aged 72 who was admitted hypertension, weight loss of 20 pounds over the last year (9.0 kgs), with a sense of "mass" that moves through your abdomen, especially in the right flank. The patient is thin and feels that it describes the mass.
Among the personal history of prostate surgery 16 years ago and installation of a permanent pacemaker for about seven months, for arrhythmias.
The eco-abdominal sonographic examination:
Liver, gallbladder, abdominal aorta, pancreas, and spleen normal.
In right kidney shows a cystic mass, located in the middle third, cortical area, measuring 4.6 X 4.5 X 3.7 cm with a volume of 37.4 ml. Upper pole kidney mass is shown solid, heterogeneous, hypo-echogenic, of irregular but well-defined limits, without posterior enhancement and with some, little, micro-calcifications inside, it measures 9.0 x 7.7 x 6, 4 cm.
The right kidney looks somewhat displaced, measures 7.0 x 5.3 x 4.1 cm with a volume of 73.5 ml, and left 8.3 x 4.8 x 4.1 cm with a volume of 80.0 ml.
