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女,48岁。右上腹不适,偶而疼痛十余年,发现肿物4月余,并感进行性增大入院。 体查:全身情况好。心肺未见异常。腹部隆起,以右上腹为甚,肝下界平脐,肝脏表面扪及一凹凸不平、结节大小不等、质地软硬不一、边缘不清的肿块,活动度差,与肝脏不能分离、有囊性感及轻压痛,无血管杂音,肝上界在右锁骨中线第五勒间,无移动性浊音。 实验室检查:三大常规正常,AFP阴性。A型超声提示右上腹实质性肿块,有丛状及分隔波,无液平段。肝功能正常。入院诊断为:肝血管瘤;肝癌待删。
Female, 48 years old. Right upper quadrant discomfort, occasional pain for more than 10 years, found more than 4 months of mass, and a sense of increased admission to hospital. Physical examination: The whole body is in good condition. No abnormalities in heart and lung. Abdominal uplift, with the right upper abdomen as even as the lower liver flat umbilicus, the surface of the liver and a bumpy, nodules of varying sizes, soft and hard texture, uneven edges, poor activity, and the liver can not be separated, there is The sac is sexy and lightly tender, with no vascular murmur. The upper liver is in the middle of the fifth midline of the right clavicle without moving dullness. Laboratory tests: The three major routines were normal and AFP was negative. A type ultrasound showed a solid mass in the right upper quadrant, with plexiform and segregated waves, and no fluid segment. Liver function is normal. Admission diagnosis was: hepatic hemangioma; liver cancer to be deleted.