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患者男,46岁,因左上腹无痛性肿物20余天于1985年4月17日入院。无消化道症状。体检:消瘦贫血貌。左上腹触及35cm×25cm×18cm 肿物,质韧,区域性囊性感,不活动,无压痛,波及中腹及右下腹,腹水征(一),囊性区穿刺抽出血性暗淡液30ml。B 超示囊实间交肿物,与肝脾无关系。X 线钡灌肠见横结肠受压,粘膜未受侵。以腹内肿瘤行剖腹探查。术中见瘤体扁椭园形、光滑、分叶状,囊实间交,包膜完整;大网膜覆盖并粘连,与肝、胆、脾、胰、胃、十二指肠粘连。分离后见基
Male, 46 years old, was hospitalized on April 17, 1985, for more than 20 days due to painless swelling of the left upper quadrant. No gastrointestinal symptoms. Physical examination: emaciated anemia appearance. Left upper quadrant touching 35cm × 25cm × 18cm mass, quality tough, regional cystic sexy, inactive, no tenderness, affecting the abdomen and the right lower quadrant, ascites (a), cystic area puncture pumping bloody dark liquid 30ml. B ultrasound show real capsule tumor, no relationship with the liver and spleen. X-ray barium enema see transverse colon compression, mucosa is not invasive. Laparotomy with intra-abdominal tumor exploration. Surgery, see the tumor flat oval-shaped, smooth, leaf-like, between the actual capsule delivery, complete capsule; omentum covered and adhesions, and liver, gallbladder, spleen, pancreatic, stomach, duodenum adhesions. See the base after separation