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我们治愈2例巨大无功能性胰岛细胞瘤,报告如下。例1,女,29岁。因右上腹部出现逐渐增大的肿块半年于1981年4月22日入院。体检见右上腹部隆起,可触及1个似新生儿头大园形肿瘤,边界尚清楚,表面光滑,质硬,略能向左右侧推动。检查血尿淀粉酶及血糖值均正常。超声波检查探及右上腹包块,实质性,与肝脏无关连。肾盂及胆道静脉造影无异常改变。胃肠钡餐检查见十二指肠圈明显扩大,粘膜无破坏现象,提示胰腺肿瘤。遂于4月28日在连续硬膜外下麻醉下施行剖腹手术。术中见胰头部有一园球形新生儿头大肿瘤,表面光滑,实质感,
We cured 2 cases of giant nonfunctioning islet cell tumors, as reported below. Example 1, female, 29 years old. The gradual enlargement of the mass in the right upper quadrant was admitted to hospital on April 22, 1981. On the physical examination, see the right upper abdomen uplift, can touch a neonatal round head shaped tumor, the border is still clear, smooth surface, hard, slightly to the right and left side. Check blood urine amylase and blood glucose values are normal. Ultrasound examination of the right upper abdominal mass, substantive, and liver unrelated. Renal fistula and biliary venography had no abnormal changes. Gastrointestinal barium meal examination showed significant enlargement of the duodenal loop and no damage to the mucosa, suggesting a pancreatic tumor. On April 28, laparotomy was performed under continuous epidural anesthesia. During the operation, the head of the pancreas has a spherical neoplasm with a large head, a smooth surface, and a sense of substance.