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患者,男,46岁。发现左上腹肿物前来就诊,体格检查:腹平坦,未见肠型及蠕动波,左上腹无压痛,脾脏肋缘下触及,全腹无压痛及反跳痛,未触及异常肿物,肝肾区无叩痛,移动性浊音阴性。超声检查:脾脏大小14.3cm×8.7cm,边界清晰,包膜完整,实质回声欠均质,脾门静脉内径0.7cm,脾脏中部见一类圆形略强回声团块,大小约13.0cm×7.5cm,边界不清晰,内回声不均
Patient, male, 46 years old. Found that the left upper quadrant of the tumor came to the clinic, physical examination: flat belly, no intestinal and peristaltic waves, no tenderness in the left upper quadrant, touched the spleen rib margin, the whole abdomen without tenderness and rebound tenderness, no palpable abnormalities, liver No percussion pain in the kidney area, mobility dullness negative. Ultrasonography: spleen size 14.3cm × 8.7cm, a clear boundary, complete capsule, the actual echo less homogeneous, splenic portal vein diameter 0.7cm, the spleen see a class of round slightly stronger echo mass, the size of about 13.0cm × 7.5cm , The border is not clear, the echo is uneven