1病例简介患者,57岁,因“乏力食欲减退半年,腹胀进行性加重半月”入院。患者为绝经期妇女,半年来食欲减退,厌油腻,伴有乏力,纳差,无恶心、呕吐、大便异常。10余天前开始自觉腹围渐增大、腹胀,呈进行性加重,1周前开始出现足部、踝部水肿,以及憋气、气短,伴发热、腹痛、盗汗。查体示全身浅表淋巴结未触及,腹部扪及实性包块15 cm大小,上界达剑突下,质硬,边界不清,移动性浊音(+)。实 A case of patients, 57 years old, due to “fatigue less than six months of appetite, abdominal distension increased half-month ” admission. Patients for menopausal women, six months anorexia, greasy tired, accompanied by fatigue, anorexia, nausea, vomiting, abnormal stools. 10 days ago began to gradually increase abdominal circumference, abdominal distension, progressive increase, began 1 week ago, foot, ankle edema, and suffocation, shortness of breath, with fever, abdominal pain, night sweats. Examination showed that the whole body superficial lymph nodes not touched, abdomen palpable solid mass 15 cm in size, the upper limit of the xiphoid, hard, borderless, shifting dullness (+). real