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患者女性,63岁。左上腹不适3天入院。查体:腹平坦,未见胃、肠型,左上腹压痛,无肌紧张及反跳痛。CT示脾胃间隙软组织包块,边缘光滑,与胃边界尚清。术中见肿块位于胃后壁,质软,与胃后壁界限不清,与周围组织无明显粘连,活动度可,距肿瘤边缘2 cm切除。病理检查巨检:结节性肿物1个,表面呈多结节状,大小8 cm×6 cm×6 cm,表面光滑;切面灰黄色为主,灶状灰红色,质细;另附小块胃壁组织,大小4.5 cm×4 cm,其黏膜与黏膜下层分离。镜检:肿瘤位于肌层及浆膜之间,境界清楚,
Patient female, 63 years old. Left upper quadrant discomfort 3 days admitted. Examination: abdominal flat, no stomach, intestinal type, left upper quadrant tenderness, no muscle tension and rebound tenderness. CT showed spleen and stomach interstitial soft tissue mass, smooth edges, and the stomach boundary is clear. Surgery, see the mass located in the posterior wall of the stomach, soft, clear boundary with the posterior wall of the stomach, with no obvious adhesions with the surrounding tissue, activity can be, away from the edge of the tumor 2 cm. Pathological examination of macroscopic examination: a nodular tumor, the surface was multi-nodular, size 8 cm × 6 cm × 6 cm, smooth surface; the main gray-yellow section, the focus is gray-red, fine quality; Gastric wall tissue, size 4.5 cm × 4 cm, the mucosa and submucosa separation. Microscopic examination: the tumor is located between the myometrial and serosal, the realm of clear,