论文部分内容阅读
患者,男,42岁。1984年因右上腹部阵发性疼痛伴恶心呕吐,曾去上海多家医院诊治,经B超、CT及肝扫描检查,诊为原发性肝癌。化疗两个疗程,因病人反应严重而中止治疗。两年后病情无明显变化,入本院复诊。查体:发育正常,营养良好,巩膜无黄染,腹部平坦,肝睥未触及,右上愎深压痛。肝功能化验正常,AFP阴性。B超示肝脏多发性占位性病变,考虑肝血管瘤。为明确诊断,于1987年3月行剖腹探查术。术中见肝脏表面呈多发性结节,其大小为0.4cm～3
Patient, male, 42 years old. In 1984, due to paroxysmal pain in the right upper abdomen with nausea and vomiting, she had been diagnosed and treated in several hospitals in Shanghai. He was diagnosed as primary liver cancer by B-ultrasonography, CT, and liver scan. In two courses of chemotherapy, the patient’s response was severe and the treatment was discontinued. After two years, there was no significant change in the condition and he was referred to the hospital. Physical examination: normal development, good nutrition, no yellow stain on the sclera, flat abdomen, untouched liver palsy, deep tenderness in the right upper quadrant. Liver function tests were normal and AFP was negative. B ultrasound shows multiple lesions of the liver, consider hepatic hemangioma. To confirm the diagnosis, laparotomy was performed in March 1987. During the operation, multiple nodules were seen on the surface of the liver. The size of the liver was 0.4 cm-3.