1病历简介白雪莉医师(浙江大学医学院附属第二医院肝胆胰外科)病人男性,59岁。因“发现上腹部包块3个月”于2014-04-19入院。病人3个月前无意中发现一上腹部肿块,约鸡蛋大小,略感隐痛,无放射痛。无皮肤巩膜黄染、畏寒发热、恶心呕吐、腹痛腹泻、黑便、便血等不适。当时病人未予重视,未进一步诊治。此后肿块持续存在,伴隐痛不适。本次入院前2天,病人来我院门诊就诊,行腹部 1 medical records Bai Shirley (Second Affiliated Hospital of Zhejiang University School of Hepatobiliary and Pancreatic Surgery) patients male, 59 years old. Because of “found upper abdominal mass 3 months ” on 2014-04-19 admission. 3 months ago, the patient inadvertently found a tumor on the abdomen, about the size of the egg, slightly painful, no radiating pain. No skin sclera yellow dye, chills fever, nausea and vomiting, abdominal pain, diarrhea, melena, blood in the stool and other discomfort. At that time, patients did not pay attention, no further diagnosis and treatment. After the tumor persists, with pain and discomfort. Two days before admission, the patient came to our hospital for outpatient treatment and performed the abdomen