1　病例报告1 1　患者 ,女性 ,6 0岁。因右下腹胀痛 5 +月 ,发现包块 1 +月入院。查体 :慢性病容 ,全身皮肤粘膜无黄染、出血点 ,全身浅表淋巴结不大 ,胸骨无压痛 ,心肺阴性 ,腹软 ,右下腹扪及 6ｃｍ× 5ｃｍ包块 ,质韧 ,压痛 ,表面光滑 ,边缘清楚 ,形状欠规则 ,可活动 ,肝脾 1 Case report 1 1 patient, female, 60 years old. Due to pain in the right lower quadrant for 5 months, it was found that the mass was admitted to the hospital 1 month later. Physical examination: chronic disease, no yellowing of the skin and mucous membranes, bleeding, no superficial lymph nodes, no tenderness of the sternum, no cardiopulmonary bypass, soft abdomen, right lower abdomen and 6cm x 5cm mass, tough, tender, smooth surface , clear edge, irregular shape, movable, liver and spleen