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患者,女性,47岁。左上腹隐痛1年,加重2个月。B超检查:脾脏长12cm,厚4.8cm,脾实质内可见 3.4cm × 2.6cm,2.6cm ×1.7cm低均质回声团,边缘不规则,后方回声无明显增强效应,瘤壁与左肾关系密切,左肾上极肾周脂肪间隙消失（图1）,肝脏、胆囊、胰、右肾未见异常。超声提示:脾恶性肿瘤。入院查体:T37℃、P84次/分、R21次/分、BP14/8kPa。外科情况:全身浅表淋巴结不肿大,腹软,脾肋下2cm、质韧、无触痛,脾区轻叩痛,腹腔无移动性浊音。血、尿常规正常。术中所见:脾下极有 5cm × 4cm肿瘤,质
Patient, female, 47 years old. Left upper abdomen pain 1 year, increased 2 months. B-ultrasound: the spleen is 12cm long and 4.8cm thick, 3.4cm × 2.6cm, 2.6cm × 1.7cm hypoechoic echogenic mass in the spleen parenchyma, irregular edge, no significant enhancement of the posterior echo, tumor wall and the relationship between the left kidney Close, the left kidney on the perirenal fat gap disappeared (Figure 1), liver, gallbladder, pancreas, right kidney no exception. Ultrasound tips: spleen cancer. Admission examination: T37 ℃, P84 times / min, R21 beats / min, BP14 / 8kPa. Surgical conditions: systemic superficial lymph nodes are not swollen, abdominal soft, splenic rib 2cm, quality and tough, no tenderness, spleen pearl pain, abdominal dullness without mobility. Blood, urine routine normal. Intraoperative findings: spleen very 5cm × 4cm tumor, quality