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患者女,29岁,因左上腹疼痛3年余,加重5d于1993年10月5日入院。疼痛呈间歇性,时轻时重,与饮食季节无关,伴纳差,消瘦。查体:腹部平坦,未见肠型及蠕动波,左肋下触及3cm×8cm包块,压痛,包块活动,光滑;移动性浊音阴性。B超示左上腹非均质占位性病变。CT示:于胃的外下方可见5.37cm×5.41cm×6cm大小圆形肿块,边界尚清,较光滑,密度不均,CT值为9～36Hu,胰体尾部受压向后方移位,肿块与胃壁、腹膜有粘连,增强扫描见肿块周边呈囊性样强化,延迟8min扫描见肿块内呈不均一强化,CT值为18～46Hu,诊断为左上腹包块。实验室检
The female patient, 29 years old, was admitted to hospital on October 5, 1993 because of pain in her left upper abdomen for more than three years and an increase of 5 days. Pain is intermittent, light and heavy, not related to the dietary season, with a poor appetite, weight loss. Physical examination: The abdomen is flat, no bowel type and peristaltic waves are seen, and the left subcostals touch a 3cm×8cm mass, tenderness, mass movement, smoothness; mobile dullness is negative. B-ultrasound showed heterogeneous mass lesions in the left upper quadrant. CT showed that a 5.37cm × 5.41cm × 6cm round mass was visible on the outer side of the stomach, the border was clear, smooth, uneven density, and the CT value was 9 ~ 36Hu. The tail of the pancreas was shifted to the rear and the mass was enlarged. There was adhesion with the stomach wall and peritoneum. The cystic-like enhancement was seen around the tumor in the enhanced scan. In the 8min delay scan, the tumor showed heterogeneous enhancement. The CT value was 18 to 46 Hu. The diagnosis was left upper abdominal mass. Laboratory inspection