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脾脏原发性恶性淋巴瘤罕见,国内仅有零星报道,现报告一例如下。患者男性,63岁。4个月前始感左上腹胀痛不适,食后为重,20天前发现包块并明显增大。骨骼无疼痛,无明显消瘦。既往健康,无肝炎史。门诊以脾脏肿瘤于1991年6月3日收住院。体检:一般情况好。皮肤粘膜无黄染,无蜘蛛痣和肝掌。浅表淋巴结不肿大。头、颈及心肺正常。左上腹膨隆,腹部可扪及直径5cm包块,质硬,固定,压痛不明显,随呼吸稍活动。肝未触及。腹水征(-)。全身骨骼动无变形或压痛。实验室检查:血常规、血小板、转氨酶、转肽酶、碱性磷酸酶均正常。钡餐透视见胃受压向右上移位。B超探及
Spleen primary malignant lymphoma rare, only sporadic reports, reports are as follows. Male patient, 63 years old. 4 months ago feeling the left upper quadrant pain discomfort, heavy after eating 20 days ago found mass and significantly increased. Skeleton without pain, no significant weight loss. Past health, no history of hepatitis. Outpatient spleen cancer on June 3, 1991 admitted to hospital. Physical examination: the general situation is good. Skin mucosa no yellow dye, no spider nevus and liver palms. Superficial lymph nodes are not enlarged. Head, neck and cardiorespiratory normal. Left upper abdomen bulge, abdominal palpable diameter of 5cm mass, hard, fixed, tenderness is not obvious, breathing slightly activity. Liver not touched. Ascites sign (-). Whole body movement without deformation or tenderness. Laboratory tests: blood, platelets, transaminases, transpeptidase, alkaline phosphatase were normal. Barium meal see the stomach pressure to the right shift. B ultra-exploration and