患者男性,50岁,因左上腹肿块半个月,于88年5月4日入院。入院前半月发现左上腹肋缘下一“馒头”大小的肿物,稍有隐痛,肿物生长不快。既往无高血压史,家庭中无肿瘤病史。 查体:一般情况好。BP:14.6/10.6KPa,浅表淋巴结不大,心肺检查无异常。腹部:左季肋部可及一约11cm×8cm大小的肿物,表面光滑,质中等硬,活动度差,无触痛。B超:左肾内上方可探及一大小10.8cm×9.2cm× The patient was male, 50 years old. He was admitted to hospital on May 4, 1988 because of a half-monthly mass in his upper left abdomen. Half a month before admission, he found a tumor of the size of the “upper head” on the costal margin of the upper left abdomen, which caused slight pain and the growth of the tumor was not rapid. There was no history of hypertension in the past and there was no history of cancer in the family. Physical examination: Generally good. BP: 14.6/10.6 KPa, no superficial lymph nodes, no abnormalities in cardiopulmonary examination. Abdomen: The left quarter rib can reach a mass of about 11cm x 8cm in size, with a smooth surface, medium hardness, poor mobility, and no tenderness. Ultrasound: The upper part of the left kidney can be probed with a size of 10.8cm x 9.2cm x