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无功能胰岛细胞瘤,为无内分泌功能紊乱的胰岛细胞瘤。患者,女,20岁。1986年因腹部外伤在单位医院剖腹探查。术后发现上腹部有一包块,逐渐增大。1988年10月31日从床上摔下,腹部着地,包块明显增大和胀痛。两天后入我院。病史中无发作性心慌、出汗、意识改变等。查体:上腹部明显隆起,触及约24×18Cm~2肿块,边界清楚,固定,质地中等,轻压痛。B超证实中心呈囊性。WBC:13.7×10~(11)/L,L12,E1,M5,N85%。诊断:
Non-functioning islet cell tumor, islet cell tumor without endocrine disorder. Patient, female, 20 years old. In 1986, she had a laparotomy at a unit hospital for abdominal trauma. After the operation, it was found that there was a mass in the upper abdomen and gradually increased. On October 31, 1988, he fell from his bed and his abdomen touched the ground. The mass of the mass increased significantly and he felt pain. Two days later into our hospital. There is no episode of palpitation, sweating, and change in consciousness in the history. Physical examination: The upper abdomen bulges prominently, touching a mass of approximately 24 × 18 cm 2 , with clear borders, fixation, moderate texture, and mild tenderness. B-verified center is cystic. WBC: 13.7×10~(11)/L, L12, E1, M5, N85%. diagnosis: