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病例女,55岁。胃区不适一年,疼痛一个月,发现上腹部包块一周。以往有呕血史。体查:腹部膨隆,腹壁静脉无曲张,未见肠型及蠕动波。中上腹部可扪及20*10cm类园形包块,质硬,压痛不明显,界限欠清,表面光滑,活动度上可。肝脾肋下未触及。B超检查:胰体部可见12.0*9.0cm混合回声,
Case female, 55 years old. Stomach discomfort a year, pain a month, found the upper abdomen mass a week. In the past history of vomiting. Physical examination: bulging abdomen, abdominal varicose veins, no intestinal and peristaltic waves. In the upper abdomen palpable 20 * 10cm type of park-like mass, hard, tenderness is not obvious, the lack of boundaries, the surface is smooth, activity can be. Liver and spleen ribs untouched. B-ultrasound: pancreatic body visible 12.0 * 9.0cm mixed echo,