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例1,女,54岁。食后腹胀、恶心20天,体重下降5kg 来所诊治。体检:左上腹触及实质性肿块。化验:Hb105g/L,其他正常。腹部平片:无钙化影。胃肠造影:见胃底、体受肿块压迫向右前方移位。B 超:示左上腹有包膜的不规则低回声肿块,18×17cm,上达左膈下,下与胰尾相近,提示左上腹占位。CT:示左上腹有18×15cm 肿块,CT 值57H,密度均,境界清。肿块压迫胃底体,与胰尾、脾门紧贴,提示左上腹肿瘤。手术见左上腹有20×18×18cm 大质硬的不规则肿块,与胃体后壁、结肠脾曲、胰体尾及脾门紧
Example 1, female, 54 years old. After eating, abdominal distension, nausea 20 days, weight loss 5kg to the diagnosis and treatment. Physical examination: A solid mass was touched in the left upper quadrant. Test: Hb105g/L, other normal. Abdominal plain film: no calcification. Gastrointestinal angiography: See the fundus, the body is displaced by the mass pressing to the right front. B-ultrasound: An irregular, hypoechoic mass with an envelope on the left upper abdomen, 18 x 17 cm, which reached the left armpit and was similar to the pancreas tail, suggesting a left upper abdomen occupying position. CT: An 18 x 15 cm mass was seen in the left upper quadrant. The CT value was 57H. The density was uniform and the realm was clear. The tumor oppressed the fundus of the stomach and closely adhered to the tail of the pancreas and the spleen, suggesting a tumor in the left upper quadrant. The operation showed a massive, hard, irregular mass of 20 × 18 × 18 cm in the left upper quadrant, tightly attached to the posterior corpus of the corpus, the spleen of the colon, the end of the pancreas, and the spleen