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患者男,43岁,因上腹部不适伴乏力消瘦1月于1992年11月8日入院。既往无肝病及血吸虫病史。查:无腹壁静脉曲张;肝肋下2～3cm,边缘光滑,质中;左上腹明显隆起,脾肿大,下界脐下3cm,质硬,结节感,活动差,轻触痛,扪及脾切迹。化验:血常规、肝肾功能正常。胸透正常。B 超示肝偏大,脾肿大,内有实质占位。CT 示巨脾,内有液化坏死区。剖腹探查见脾占据整个左上腹,约30cm×18cm×12cm,质硬,表面结节状,与邻近脏器广泛紧密粘连,结肠脾曲及胰腺被肿瘤侵
Male, 43 years old, because of the upper abdomen discomfort with fatigue, weight loss January in 1992 November 8 admission. Past history of liver disease and schistosomiasis. Check: no abdominal varicose veins; hepatic ribs 2 ~ 3cm, smooth edges, quality; the left upper abdomen was significantly uplift, splenomegaly, lower bound below the umbilicus 3cm, hard, nodular, poor activity, tenderness, palpable Spleen notch. Laboratory tests: blood, liver and kidney function is normal. Thoracotomy normal. B ultrasound showed large liver, splenomegaly, there are substantial placeholder. CT showed splenomegaly, there liquefaction necrosis area. Splenectomy to see the spleen to occupy the entire left upper abdomen, about 30cm × 18cm × 12cm, hard, surface nodular, with extensive adhesions adjacent organs, colon and spleen and pancreas was tumor invasion