患者 ,男 ,5 3岁。因乏力 ,近日食欲不佳 ,左上腹不适数天来院就诊 ,自述在此之前以胃病口服用药治疗 ,结果疗效不佳。门诊行Ｂ超检查 ,提示 :肝胆、双肾无异常 ,脾脏体积增大 ,形态欠规则 ,脾内下方可见一不规则混合回声光团 ,大小约 16 5× 89ｍｍ。肿块边界较清 ,内部回声不 Patient, male, 53 years old. Due to fatigue, recent poor appetite, left upper quadrant discomfort for several days to the hospital, readme prior to this stomach with oral medication, the results of poor efficacy. Outpatient clinic B-ultrasound, suggesting: liver and gallbladder, kidneys no abnormalities, the spleen volume increases, the rules owe the rules, below the spleen can be seen an irregular mixed echo light group, the size of about 16 5 × 89mm. Clearer tumor boundaries, the internal echo is not