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随着诊断技术的提高,胰岛细胞瘤的发现日益增加。良、恶性胰岛细胞瘤都可出现临床上各种各样的内分泌功能紊乱,称功能性胰岛细胞瘤。而无内分泌功能紊乱的非功能性胰岛细胞瘤则很少见,文献报导也很少。例1患者女性,52岁,已婚,广西籍,广西区医院住院号159647。左上腹部包块隐痛二年。1979年无意发现左上腹部有鸡蛋大肿物,进食后有上腹胀,但无恶心呕吐。两便正常。无昏倒病史。1981年觉肿物渐大,有持续性隐痛及腹胀,入院手术治疗。检查:一般情况尚好,腹围74cm,左上腹膨隆。腹软,左上腹触及18×18cm的包块,质硬、表面平滑,边界清,无压痛,活动度差。叩诊
With the improvement of diagnostic techniques, the discovery of islet cell tumors is increasing. Both benign and malignant islet cell tumors can present a variety of clinical endocrine disorders, known as functional islet cell tumors. Non-functioning islet cell tumors with no endocrine disruption are rare and reported in the literature. Case 1 Female patient, 52 years old, married, Guangxi native, Guangxi District Hospital No. 159647. The upper left abdomen has two weeks of pain. In 1979, there was no intention of finding a large egg mass in the left upper abdomen, and there was upper abdominal distension after eating, but no nausea and vomiting. Both will be normal. No history of fainting. In 1981, the mass was enlarged, persistent pain and abdominal distention were admitted to the hospital for surgical treatment. Check: The general condition is still good, abdominal circumference 74cm, left upper abdomen bulging. The abdomen was soft and the left upper abdomen touched a mass of 18 x 18 cm. The mass was hard, the surface was smooth, the border was clear, there was no tenderness, and the activity was poor. Percussion