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患者,男,24岁。自诉1984年初开始,无明显诱因出现右上腹间歇性胀痛,有时加剧并牵涉到右胸前和右肩胛部。经药物治疗后症状缓解。1984年底无意中发现右上腹有一鸡蛋大肿块,不影响工作和生活,未予重视,肿物逐渐增大。入院前一个月开始,右上腹胀痛复发,且变为持续性,药物治疗无效,来我院检查,门诊拟诊“肝癌”,收住院治疗。查体:发现右肝略大,右肋缘下腹直肌外侧可扪及一大小约10×6×4cm的肿块,质中,表面光滑,下界钝圆,上界不清,能随呼吸上下移动。肝功能正常,AFP阴性。B超提示:右肝
Patient, male, 24 years old. Since the beginning of the prosecution in 1984, there has been no obvious incentive for intermittent pain in the right upper quadrant, and it has been exacerbated and involved in the right front and right shoulders. Symptoms resolved after drug treatment. At the end of 1984, it was found that there was a large mass of eggs in the right upper quadrant, which did not affect work and life. It was not given much attention and the mass was gradually enlarged. One month before admission, the right upper abdominal pain recurred and became persistent, drug treatment was ineffective, came to our hospital for examination, outpatient diagnosis of “liver cancer”, received hospital treatment. Physical examination: It was found that the right liver was slightly larger, and the lateral side of the rectus abdominis of the right costal margin was palpable with a mass of about 10×6×4 cm. The mass was smooth, the lower boundary was blunt, the upper border was unclear, and it moved up and down with the breath. . Liver function is normal and AFP is negative. B-tip: right liver