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病人男性 ,6 0岁。 3年前发现腹部肿物 ,无任何不适。近见肿物逐渐增大 ,伴加重性腹胀。查体 :消瘦 ,腹部膨隆 ,状如足月双胎孕妇。触诊肿物表面光滑 ,质韧 ,无结节 ,推之不移动。B超 :肝、胆、脾未探及异常 ,胰腺未探及 ,腹腔自上腹到下腹部可探及巨大实性强回声病灶。初步诊
Male patient, 60 years old. Abdominal mass was found 3 years ago without any discomfort. Near the tumor gradually increased, with severe abdominal distension. Physical examination: weight loss, abdominal bulging, like a full-term twin pregnant women. Palpation palpable surface smooth, tough, non-nodular, push it does not move. B-ultrasound: liver, gallbladder, spleen unexploded and abnormal, the pancreas is not explored and the abdominal cavity can be explored from the upper abdomen to the lower abdomen and huge strong echogenic lesions. Initial diagnosis