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腹膜后黄色肉芽肿较罕见,我们收治一例,经剖腹探查及放射治疗,无瘤存活已10年,现报道如下。患者男性,44岁,右上腹包块三月余,突发右上腹疼痛伴呕吐2小时急诊入院。检查:神志清楚,痛苦面容,全身浅表淋巴结未触及,心肺正常,肝脾不大,右上腹可触及一巨大肿物。于1980年5月剖腹探查,术中见肿块位于右上腹膜后,约10×6×5cm大小,质硬,固定,因广泛粘连难以切除,切取组织活检,病理诊断:腹膜后黄色肉芽肿。术后20天行钴~(60)放射治疗,上腹前后二野照射,DT4000cGy/20次/35天。治疗结束时肿块缩小不明显,一月后B超复查,肿块缩小
Retroperitoneal granulomatous granuloma is rare. We treated one patient. After laparotomy and radiotherapy, the tumor-free survival was 10 years old. The report is as follows. The patient was a 44-year-old man with a mass of more than three months in the right upper abdomen. Sudden upper right abdomen pain was accompanied by vomiting for 2 hours in an emergency admission. Examination: conscious, painful face, no contact with superficial lymph nodes, normal heart and lungs, small liver and spleen, and a large mass in the right upper quadrant. In the May 1980 exploratory laparotomy, the tumor was located in the right upper peritoneum and was approximately 10 x 6 x 5 cm in size. It was hard and fixed. It was difficult to remove due to extensive adhesions. The tissue biopsy was performed. Pathological diagnosis was retroperitoneal xanthogranuloma. Cobalt-60 radiation therapy was performed 20 days after the operation, and two fields were irradiated before and after the upper abdomen. DT4000cGy/20 times/35 days. At the end of the treatment, the size of the mass was not significantly reduced. After one month, the ultrasound was reviewed and the mass was reduced.