患者 ,女 ,64岁。因中上腹反复疼痛 3+ 月 ,出现食欲下降、恶心、呕吐 ,以腹部包块待诊收入院。发病以来皮肤、巩膜无黄染及畏寒发热 ,曾在外院予以对症治疗 ,症状改善不明显 ,且有疼痛加剧。入院后查体 :左上腹丰满 ,压痛 (+ ) ,可扪及 8ｃｍ× 10ｃｍ大小包块 ,质硬 ,边界欠 Patient, female, 64 years old. Due to repeated upper abdominal pain 3 + months, there appetite decreased, nausea, vomiting, abdominal mass to be admitted to hospital. Since the onset of the skin, scleral no yellow dye and chills and fever, had symptomatic treatment in the outer court, the symptoms did not improve significantly, and there is aggravating pain. After admission, physical examination: left upper quadrant fullness, tenderness (+), palpable mass 8cm × 10cm mass, hard, border