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男性,62岁,因左上腹疼痛3天,贫血入院。体检:消瘦,皮肤、粘膜苍白,左上腹压疼,无肌紧张,脾脏肋下3指,质中等。化验:血沉104mm/小时,Hb6g,其余正常。胸透左隔肌活动度差,左肋隔角变钝。上消化道钡透见胃体有一较大致密影,将主膈肌抬高,胃向右侧移位。B超:在脾门处可见一轮廓模糊约为5.2×4.6cm的实质性包块。CT:脾门处可见
Male, 62 years old, was hospitalized for anemia due to pain in the left upper quadrant for 3 days. Physical examination: weight loss, pale skin and mucous membranes, pain in the left upper quadrant, muscle tension, 3 ribs in the spleen, and moderate quality. Laboratory tests: ESR of 104mm/h, Hb6g, and the rest are normal. Chest diaphragm left diaphragm activity is poor, left rib angled blunt. The upper gastrointestinal tract sees a large dense shadow in the body, raising the main diaphragm and shifting the stomach to the right. B-ultrasound: At the splenic portal, a substantial mass with a fuzzy outline of approximately 5.2 x 4.6 cm can be seen. CT: Visible at the spleen