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患者 男,58岁。左上腹隐痛伴低热10个月,于1986年5月16日入院。查体:左肋缘下触及约15×10cm肿物,界限不清,中等硬,表面尚光滑,局部压痛,尤以脐上5cm偏左局部压痛明显。肝脾不大。血常规及肝、肾、心功能检查均正常。X线胸片示左侧横膈上移。B超示左上腹实质性肿块回声。拟诊为左上腹肿块,横结肠癌?术中见左上腹有16×12×10cm巨大肿物,与腹壁轻度粘连,周边血管丰富,胃被挤向右后方。主肝表面光滑,大
Male patient, 58 years old. The upper left abdomen was accompanied by low fever for 10 months and was admitted to hospital on May 16, 1986. Physical examination: The left subcostal area touched about 15×10cm mass, the boundary was unclear, the medium hard, the surface was still smooth, local tenderness, especially the local tenderness of the left part of the umbilicus 5cm. Liver and spleen are not large. Blood tests and liver, kidney, and heart function tests were normal. X-ray shows the left side of the diaphragm up. B-mode ultrasound shows a solid mass echo in the left upper quadrant. The diagnosis of left upper abdominal mass and horizontal colon cancer revealed a large mass of 16×12×10 cm in the left upper abdomen and mild adhesion to the abdominal wall. The surrounding blood vessels were abundant and the stomach was squeezed to the right and rear. The main liver surface is smooth and large