1　病例资料某男 ,5 3岁 ,以胸壁皮下结节 2月 ,腹痛 1月入院。 2月前发现胸壁皮下数个结节 ,从米粒到花生粒大小不等 ,质稍硬 ,无压痛 ,未在意。此后结节渐增大 ,左腋下一处达鸡蛋大小。遂在当地医院取活检 ,病理报告“非淋巴结肿大系胸壁转移性腺癌” ,查胸片、B超、消化道钡 A case of a male, 53 years old, with subcutaneous nodules on the chest wall in February, abdominal pain in January hospitalization. Two months ago found several subcutaneous chest nodules, ranging from grains to peanuts, slightly qualitative hard, no tenderness, did not care. Since then the nodules gradually increased, the size of the left armpit up to one egg. Then take the biopsy at the local hospital, pathology report “non-lymph node metastasis of chest wall metastatic adenocarcinoma”, check the chest, B ultrasound, gastrointestinal barium