患者男性,65岁。因左上腹部胀痛1月余,加重10天入院。患者1个月前无明显诱因出现左上腹部胀痛,伴低热、盗汗,食欲不佳、乏力。自行在家服用中草药,效果不佳。10天前感上腹胀痛加重。于外院行腹部增强CT示脾内上缘区域占位性病变,考虑为间质瘤(恶变)并脾浸润可能性大,不完全除外脾脏来源恶性肿瘤。查体:体温38.2℃,全身浅表淋巴结无肿大,腹部膨隆,左肋缘下可触及包块,达肋缘下 Male patient, 65 years old. Due to the left upper abdomen pain more than 1 month, increased 10 days admission. Patients with no obvious incentive 1 month ago left upper abdomen pain, with fever, night sweats, poor appetite, fatigue. Taking herbal medicine at home is not effective. 10 days ago feeling upper abdominal pain aggravated. On the outside of the hospital abdomen enhanced CT showed splenic lesions on the margin of the upper region, considered as stromal tumors (malignant) and the possibility of splenic invasion, not completely except for spleen-derived malignancies. Physical examination: body temperature 38.2 ℃, systemic superficial lymph nodes without swelling, bulging abdomen, left margin of the margins can reach the mass, up to the costal margin