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患者女性,56岁,于2个月前始出现左上腹痛,食欲不振,且进行性加重,于1992年1月29日入院,查体:腹软,于左上腹肋弓下可及4cm×3cm3cm的肿块,边界清、质硬,尚活动,左上腹部有深压痛。B超示左上腹肿块影,提示来自胰腺。全消化道×线钡餐检查无异常发现。于1992年2月9日在全麻下剖腹探查,术中见肿瘤位于胰体尾部,呈橄榄状,约10cm×6cm×6cm,质韧,表面结节状,包膜不完整。肿瘤与横结肠系膜、十二指肠第三段、胃后壁呈膜状粘连。术中诊断为胰体尾恶性肿瘤而行胰体尾、脾脏联合切除术。病理检查:灰红淡黄椭圆形肿瘤一个,体积11cm×7.5cm×5.5cm大小,表面结节状,包膜不完
A 56-year-old female patient presented with an upper left abdominal pain 2 months ago. Her appetite was weak and she had progressively worsened. She was admitted to the hospital on January 29, 1992. Her examination revealed that her abdomen was soft, and it was 4 cm×3 cm 3 cm below the left upper abdominal costal arch. The mass was clear, hard and firm, and there was deep tenderness in the left upper abdomen. Ultrasonography showed a shadow of the left upper abdominal mass suggesting that it was from the pancreas. There was no abnormality in the total digestive tract x barium meal examination. On February 9, 1992, the exploratory laparotomy was performed under general anesthesia. During the operation, the tumor was located in the tail of the body of the pancreas. It was olive-shaped and was about 10cm x 6cm x 6cm. The quality was tough, the surface was nodular, and the capsule was incomplete. Tumor and mesocolon, third segment of duodenum, and posterior gastric wall were membrane-like adhesions. Intraoperative diagnosis of pancreatic body and tail cancer and pancreatic body tail and spleen combined resection. Pathological examination: a pale yellowish-orange tumor with a size of 11cm × 7.5cm × 5.5cm, nodules on the surface, and the envelope is not finished