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患者男,50岁,上腹部疼痛20余日,进食后明显,偶伴恶心呕吐,呕吐胃内容物,大小便正常,无发热及盗汗,上腹部CT示:胰头占位,大小约6cm×7cm,边界欠清,内部密度均匀,增强扫描延迟期轻中度强化,肠系膜上动脉受包绕,拟为胰头癌(图1),胸盆腔CT扫描未见淋巴结肿大,查体浅表淋巴结无肿大。血常规:Hb:124g/L,MCV:86.9
Male patient, 50 years old, with pain in the upper abdomen for more than 20 days, apparently after eating, occasional nausea and vomiting, vomiting of stomach contents, normal urine, no fever and night sweats, upper abdomen CT: head of the pancreas, size about 6cm × 7cm, border is clear, internal density is uniform, mild and moderate enhancement of the enhanced scanning delay period, superior mesenteric artery is surrounded, intended to be pancreatic head cancer (Figure 1), no lymph node enlargement was observed by thoracic and pelvic CT scan, superficial examination Lymph nodes are not swollen. Blood routine: Hb: 124g/L, MCV: 86.9