论文部分内容阅读
患者男,52岁。半年前发现下腹部包块,触之质硬,但可移动。伴大便次数增多(3-4次/日)。于1984年11月30日入我院。查体:一般情况好。肝脾未触及。右下腹部可触及12×12×10cm包块,左下腹正中偏右可触及鸡蛋大包块,质硬,边界清楚,活动性大,无明显压痛。实验室检查:Hb10.59％,大便隐血试验(-),肝肾功能正常。术见下腹腔及膀胱直肠窝处各有一游离的灰白色卵圆形肿块,遂即取出。在结肠系膜根部及大网膜、肝、脾和膀胱后壁可见无数大小不等结节,向外突起,无蒂,界限清楚,肿瘤有少量纤维组织包膜,易剥离。将肠系膜根部及大网膜肿块作个别切除,连同游离肿块2个送病检。
Male patient, 52 years old. The lower abdomen mass was discovered half a year ago and it was hard to touch but could be moved. Increased stool frequency (3-4 times/day). In November 30, 1984 into our hospital. Physical examination: Generally good. Liver and spleen are not touched. The right lower abdomen can touch 12 × 12 × 10cm mass, the left lower abdomen can be right to touch the right side of the egg mass, hard, clear boundary, activity, no significant tenderness. Laboratory tests: Hb 10.49%, stool occult blood test (-), normal liver and kidney function. Seeing the lower abdomen and the rectum fossa of the bladder, there was a free gray-white oval mass, and the fistula was removed. In the colon mesenteric roots and the omentum, liver, spleen and bladder wall can be seen numerous invariable nodules, protruding outwards, no pedicle, the boundaries are clear, the tumor has a small amount of fibrous tissue capsule, easy to peel. The mesenteric root and large omentum lumps were individually excised, and 2 free lumps were sent for examination.