患者女,48岁.因上腹部肿块进行性肿大2月余伴呕吐黄色苦水半月入院。近1年多来常有上腹部饱胀不适,时有刺痛,食欲不佳,头昏乏力,体重下降。体检:巩膜皮肤未见黄染,锁骨上淋巴结未及,右上腹触及硬块,肋下3cm,剑突下5cm.质硬,表面尚光滑,边缘纯,无明显压痛,似随呼吸上下移动,脾未及,腹水征(一)。肝功能正常。AKP12u,γ-GT7u.AFP(-)。同位素 The patient was 48 years old. Her upper abdominal mass was swollen for more than 2 months and she was accompanied by vomiting and yellow bitter water for half a month. In the past more than one year, I often have full abdominal discomfort, sometimes with irritation, poor appetite, dizziness, fatigue, and weight loss. Physical examination: no yellow stain on the sclera skin, no supraclavicular lymph nodes, and a lump in the right upper abdomen, 3 cm under the ribs, 5 cm below the xiphoid surface. Hard, smooth surface, pure edges, no obvious tenderness, it seems to move up and down with the breath, spleen Less than, ascites sign (1). Liver function is normal. AKP12u, γ-GT7u.AFP (-). isotope