female，64 years， she was admitted into hospital with the chief complain of repeat right upper abdominal pain for 12 years. The pain was not severe but radiated to the right shoulder. No jaundice， no fever. No acid regurgitation， no hiccups or belching. It usually went away without any treatments. In the recent 5 months，the pain became persistence. Moreover，she felt fatigue and lost of the body weight. PE： right upper quadrant abdominal tenderness. 4cm×4cm mass can be palpable just under the righ