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患者,男,60岁,以“贫血原因待查”入院。12天后出现下腹痛并触及肿块。B超检查:下腹见实质不均质肿块,大小88×87×69mm,边界尚清,外形呈分叶状,位脊柱前方腹盆腔血管分叉及其之下(图1),腹主动脉左髂血管斜行其后方且受压,右髂血管从其后外侧经过(图2)。提示:下腹部后腹膜实质不均质性肿瘤。剖腹探查:术中见下腹正中后腹腔肿块大小150×150×100mm,质硬呈结节状且与周围粘连,肿块固定,血运丰富,左后侧中央有腹主动脉穿过,行姑息手术。病理:(腹部)化学感受器瘤。
The patient, male, 60 years old, was admitted to hospital with “anemia reason unknown”. After 12 days, there was abdominal pain and a bump. B-ultrasonic examination: Substantial inhomogeneous mass in lower abdomen, size 88 × 87 × 69 mm, border is still clear, the appearance of lobulated, in front of the spine in front of the bifurcation of the pelvic vessels and below (Figure 1), left abdominal aorta The sacral vessels are obliquely behind and under pressure, and the right sacral vessels pass through the lateral side (Fig. 2). Tip: Heterotopic retroperitoneal parenchymal tumors. Laparotomy: During the operation, the abdominal mass in the lower abdomen is 150 × 150 × 100 mm. The hard mass is nodular and adheres to the surrounding area. The mass is fixed and the blood supply is abundant. The abdominal aorta passes through the left posterior center and undergoes palliative surgery. . Pathology: (abdominal) chemoreceptor tumors.