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患者,女,40岁,因饮食不振,体重下降,左上腹肿物3月,于1985年3月31日入院。查体,左上腹部扪及5×7cm肿物,上极不清,表面光滑,实性,轻微活动。A超提示左肾内上方肿物,13×9cm,深径10cm,液平5.5cm。前腹区探查,脾投影内下方见肿物7×6cm,液平5.5cm,液平距体表4cm。排泄性尿路造影未见异常。于4月12日在全麻下行剖腹探查术,发现肿物位于胰体、尾部,囊性,如新生儿头大小。肿物与脾脏面粘连紧密,与左肾、横结肠粘连。脾淤血性肿大。术中检囊内液淀粉酶为1024温氏单位。冰冻切片诊断:胰腺高分化导管腺癌。将肿瘤及胰体尾部、脾切除。术后恢复顺利。病理检查,肿物10×8×6cm,表面光滑,
The patient, female, 40 years old, was admitted to hospital on March 31, 1985 because of a lack of diet and weight loss, and a left upper abdominal mass was reported in March. Physical examination, left upper abdomen hernia and 5×7cm tumor, extremely unclear, smooth surface, solid, slight activity. A super tip showed a left upper renal mass, 13 x 9 cm, a deep diameter of 10 cm, and a fluid level of 5.5 cm. In the anterior abdominal region, the inside of the splenic projection showed a mass of 7 x 6 cm in the lower part of the splenic projection, a fluid level of 5.5 cm, and a fluid level of 4 cm from the body surface. Excreted urography did not show abnormalities. On April 12th, laparotomy was performed under general anesthesia. It was found that the tumor was located in the body and tail of the pancreas and cystic, such as the size of the neonatal head. The tumor adhered tightly to the spleen surface and adhered to the left kidney and transverse colon. Splenomegaly spleen. Intraoperative cyst fluid amylase was 1024 wen. Frozen section diagnosis: pancreatic well-differentiated ductal adenocarcinoma. The tumor and tail of the pancreas were removed. After the recovery smoothly. Pathological examination, mass 10×8×6cm, smooth surface,