患者女,69岁。无明显诱因出现右上腹疼痛1月,呈持续性轻度隐痛,无发热、寒战及黄疸;无恶心呕吐;无腹泻及黑便。体检:右上腹胆囊区及一大小约6 cm×4 cm质硬肿块,与腹壁粘连,边缘不清,表面粗糙,活动度小。肝功能各项指标均正常;肿瘤标志物检查:除癌胚抗原(CEA)轻度增高外(9.4 ng Female patient, 69 years old. There was no obvious cause of pain in the right upper abdomen for 1 month. Sustained mild mild pain, no fever, chills and jaundice; no nausea and vomiting; no diarrhea and black stools. Physical examination: the gallbladder area in the right upper quadrant and a hard mass with a size of approximately 6 cm × 4 cm. Adhesion to the abdominal wall, unclear edges, rough surface, and low mobility. All indicators of liver function were normal; tumor marker examination: slight increase in carcinoembryonic antigen (CEA) (9.4 ng