患者女，４３岁。左上腹疼痛并发现左上腹包块１０天入院。查体见左上腹可触及一８ｃｍ×７ｃｍ大小的质韧包块，表面光滑，无压痛，上界不能触及，左肾区叩击痛（±）。ＣＴ检查：平扫左肾上腺区见－１１ｃｍ×１０ｃｍ×１５ｃｍ大小的类圆形肿块，介于腹主动脉、脾脏与左肾 The patient is 43 years old. The upper left abdomen was painful and left upper abdomen mass was admitted for 10 days. Seeing the left upper abdomen, a mass and tough mass of 8cm x 7cm can be reached. The surface is smooth, without tenderness, the upper bound can not be touched, and the left kidney area is affected by percussion pain (±). CT examination: Circular swollen masses in the left adrenal gland area, -11 cm × 10 cm × 15 cm, in the abdominal aorta, spleen, and left kidney