患者：女，62岁。主诉：右上腹肿物10月，疼痛10天，破溃伴出血2天。患者于10月前右上腹外伤后疼痛在当地卫生院诊断右季肋部软组织挫伤，用药后疼痛消失。但患者发现右上腹包块，无疼痛，当时未引起注意。10天前肿物明显增大，伴持续性疼痛，食欲差，恶心未吐，明显消瘦。2天 Patient: Female, 62 years old. Chief complaint: Right upper quadrant tumor in October, pain for 10 days, ulceration with bleeding for 2 days. The patient had pain in the right upper quadrant 10 months before the diagnosis of soft tissue contusion in the right rib in the local hospital, and the pain disappeared after treatment. However, the patient found that there was no pain in the mass of the right upper abdomen. At that time, no attention was paid to it. Ten days ago, the mass was significantly enlarged with persistent pain, poor appetite, nausea, and weight loss. 2 days