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患者女性,59岁。因在上腹肿块,伴纳差、消瘦1月入院。慢性消瘦病容,全身表浅淋巴结不肿大,心肺无异常。左肋缘下触及肿大脾脏,大小约13×9Ocm,表面不光滑,质硬,边界清,压痛明显,脾切迹触不清,可随呼吸活动。肝触诊不满意,无移动性浊音。血、尿常规及肝功能正常。胸部X线片:左膈面稍有升高。上消化道钡餐造影未见食管静脉曲张,但见胃底及胃体上部大弯侧凹陷,边缘规则,考虑为巨牌压迫所致。B超检查:
Female patient, 59 years old. Due to a tumor in the upper abdomen, he was admitted to hospital with an accommodative difference and weight loss in January. Chronic weight loss disease, superficial lymph nodes are not swollen, heart and lung without exception. The left costal margin touched the enlarged spleen, the size of about 13 × 9Ocm, the surface is not smooth, hard, clear borders, tenderness, spleen not clear touch, with respiratory activity. Liver palpation is not satisfied, no moving dullness. Blood, urine routine and normal liver function. Chest X-ray: The left eyelid is slightly elevated. Upper esophagus barium meal imaging did not see esophageal varices, but see the stomach and the upper side of the stomach body concave side, the edge of the rules, consider the giant brand oppression. B-check: