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1 病例报告患者男,62岁。上腹部包块半年余,于1999—08—15入院。查体:消瘦貌,全身未触及肿大的浅表淋巴结。心肺无明显异常。左侧腹部略隆起,并触及包块。B超检查:脾位置正常,外形明显增大,表面欠光滑。脾内见大小不等的中底回声团块影,3.0～5.0cm。轮廓清晰,边界不整。临床初诊:脾占位病变。行剖腹探查术。术中见脾肿大,表面呈结节状,与周围组织轻微粘连。周围组织未见肿块。行脾切除术。术后病
1 case report patient male, 62 years old. The abdominal mass was more than six months old and was admitted to the hospital from 1999-08-15. Physical examination: Obese face, the body did not touch the enlarged lymph nodes. Cardiopulmonary no obvious abnormalities. The left abdomen slightly raised and touched the mass. B-ultrasonic examination: The spleen is normal, the appearance is obviously increased, and the surface is less smooth. Spleen see the size of the midsole echo block, 3.0 to 5.0cm. The outline is clear and the boundary is not perfect. Clinical initial diagnosis: splenic lesions. Laparotomy. The splenomegaly was seen during the operation. The surface was nodular with slight adhesion to the surrounding tissue. There was no lump in the surrounding tissue. Splenectomy. Postoperative disease