闬××,女性,49岁,自1981年10月开始下腹部隐痛已半年,疼痛以左下腹明显,不向他处放射,无恶心呕吐,亦无腹泻;3月来持续发热,伴有胃纳减退、乏力、消瘦;2月来左下腹扪及一肿块。平素月经规则,现停经2月余。足月产6次,无流产、早产史。体检:体温38℃,消瘦,慢性病容,未扪及肿大 闬 × ×, female, 49 years old, since the lower abdomen pain has been half a year since October 1981, pain was obvious in the left lower quadrant, no radiation to other places, no nausea and vomiting, no diarrhea; 3 months to continue fever, accompanied by stomach To subside, fatigue, weight loss; February left palpable palpable mass. Regular menstrual rules, now menopause more than 2 months. Full-term 6 times, no abortion, premature birth history. Physical examination: body temperature 38 ℃, weight loss, chronic disease, no palpable swelling