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患者,男,43岁。因近日上腹部不适,食欲不振、乏力,前来就诊。查体:左上腹部可触及160mm×58mm的包块,质硬、无活动、表面不光滑。超声检查:胰腺外形大小尚正常,于胰尾处可见15mm×10mm低回声,边界尚规则,内部呈低回声,余胰实质回声均匀(图1)。于脾上极实质内见24mm×18mm低回声,于脾门区可见32mm×23mm低回声,边界尚清,
Patient, male, 43 years old. Due to recent abdominal discomfort, loss of appetite, fatigue, come to see a doctor. Physical examination: left upper abdomen can reach 160mm × 58mm mass, hard, no activity, the surface is not smooth. Ultrasonography: The size of the pancreas is normal, with a 15 mm × 10 mm hypoechoic echo at the tail of the pancreas. The border is still regular, with a hypoechoic appearance and a homogeneous echogenic mass of the remaining pancreas (Figure 1). See the very essence of spleen in the 24mm × 18mm hypoechoic, visible in the splenic door area 32mm × 23mm hypoechoic, the boundary is clear,