患者,女,69岁。以发现左上腹无痛性肿块半个月为主诉,于1986年12月3日住院。入院体检及部分检验:皮肤、结膜苍白,左上腹触及肿大脾脏,下缘达左肋缘下9cm,表面光滑、质韧、无触痛。化验:白细胞7×10~9/L,分叶核57％,淋巴36％,嗜酸3％,血红蛋白68g/L。B超示肿大脾脏为实质性,病理性质不明,脾肿瘤不能排除。其他检查未发现异常。入院后10天以脾肿瘤性质不明的诊断在硬膜外麻醉下进行剖腹探查。见脾大18×12×8cm,下极有—12×12×8cm肿物,紫红色、质较硬、表面凹凸不平,其他部分脾组织也较正常硬,外观棕红色。 Patient, female, 69 years old. Painless masses in the left upper quadrant were found as the main complaint for two weeks and were hospitalized on December 3, 1986. Admission examination and partial examination: skin, pale conjunctiva, left upper abdomen touched swollen spleen, the lower edge of the left costal margin of 9cm, smooth surface, tough quality, no tenderness. Laboratory tests: WBC 7×10~9/L, 57% of lobar nuclear, 36% lymph, 3% eosinophil, and hemoglobin 68g/L. B ultrasound showed that the splenic enlargement was substantial, the pathological nature was unknown, and splenic tumors could not be ruled out. No abnormality was found in other tests. 10 days after admission, laparotomy was performed under epidural anesthesia with the diagnosis of splenic tumors unclear. See splenomegaly 18 × 12 × 8cm, under a very -12 × 12 × 8cm tumor, purple, harder, uneven surface, other parts of the spleen tissue is also harder than normal, brown red appearance.