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1病例报告患者,男,80岁,主诉:上腹部疼痛和大便次数增加2周,于2004-07-14收入广州复大肿瘤医院。过去史:有10余年的轻度高血压和慢性支气管炎史。体格检查:一般情况良好,有轻度肺气肿征,肝脾不肿大,腹部无压痛,未扪及肿块。腹部超声检查示胰腺钩突部3.5 cm×4.3 cm大小低回声区,其周围有不规则血流,提示胰周区血管受累(图1)。腹部CT显示胰腺钩突区低密度区,大小3.5 cm×3.4 cm(图2A),提示胰周血管和淋巴结受累。无胆总管和主胰管扩张。CT引导下细针活
1 case report Patients, male, 80 years old, Chief Complaint: upper abdominal pain and stool frequency increased by 2 weeks, in 2004-07-14 income Guangzhou Forte Cancer Hospital. Past history: there is more than 10 years history of mild hypertension and chronic bronchitis. Physical examination: generally good, mild emphysema sign, liver and spleen not swollen, no tenderness in the abdomen, no palpable mass. Abdominal ultrasonography showed a hypoechoic area of 3.5 cm × 4.3 cm in the uncinate process of the pancreas with irregular blood flow around it, suggesting involvement of the vessels in the peripancreatic area (Figure 1). Abdominal CT revealed a low density area of the uncinate area of the pancreas with a size of 3.5 cm × 3.4 cm (Fig. 2A), suggesting involvement of peripancreatic vessels and lymph nodes. No common bile duct and pancreatic duct dilatation. Fine needle living under CT guidance