患者,女,40岁。左上腹包块伴腹部钝痛4个月。4个月前不明原因自感全身乏力,困倦,低热,发现左上腹有一核桃大肿块伴有钝痛,肿块渐增大腹痛加重,有时呈阵发性剧痛。发病后食欲较差。既往健康。体检:T37℃,P80次/分,Bp14.7/9.33Kpa(110/70mmHg)。贫血貌,巩膜及皮肤无黄染,表浅淋巴结不肿大。心肺无异常。腹平坦,无肠型及蠕动波, Patient, female, 40 years old. Left upper abdominal mass with abdominal dull pain for 4 months. Four months ago, the unexplained self-intuitive feeling of weakness, drowsiness, and low fever found a large lump in the upper left abdomen with dull pain. The mass of the tumor gradually increased and the abdominal pain increased. Poor appetite after onset. Past health. Physical examination: T37°C, P80 beats per minute, Bp14.7/9.33 Kpa (110/70 mmHg). Anemia appearance, sclera and skin without yellow stain, superficial lymph nodes are not swollen. No abnormalities in heart and lungs. Flat belly, no intestinal and peristaltic waves,