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病例:女性,64岁,因进食后呕吐5月余,加重1个月来我院就诊。查体:中上腹可扪及直径为8 cm的肿块,质韧,活动度差,触之无压痛、反跳痛,肌紧张不明显。腹部MRI检查:近端空肠可见椭圆形异常信号灶,边界欠清,约6.5 cm×12.0 cm×13.0 cm,增强后呈明显不均匀强化(见图1),拟诊空肠肿瘤(淋巴瘤可能)。实验室检查:血、尿常规和肝、肾功能未见明显异常,CA125、CA19-9、CEA均在正常范围内。入院后行剖腹探查术,术中见肿块位于近端空肠,呈椭圆形,质韧,与十二指肠降部有粘连,完整切除空肠肿块及邻近肠管
Case: Female, 64 years old, vomiting after eating more than 5 months, increased 1 month to our hospital. Physical examination: palpable in the upper abdomen and a diameter of 8 cm mass, quality and toughness, poor mobility, contact with no tenderness, rebound tenderness, muscle tension is not obvious. Abdominal MRI examination: the proximal jejunum oval abnormal signal can be seen, the border is not clear, about 6.5 cm × 12.0 cm × 13.0 cm, was significantly enhanced after enhanced heterogeneity (see Figure 1), the proposed diagnosis of jejunal tumors (lymphoma may) . Laboratory tests: blood, urine and liver and kidney function showed no abnormalities, CA125, CA19-9, CEA were in the normal range. After admission, laparotomy exploration, intraoperative see the mass in the proximal jejunum, oval, quality and toughness, and duodenal descending adhesions, complete resection of the jejunum mass and adjacent intestinal