患者男，60岁。因剑突下不适伴解柏油样大便15天，于1995年三月14日来我院就诊，门诊行胃镜检查并取活检，病理诊断为胃角、胃窦部腺癌收入住院。既往无肝炎病史。查体见腹平坦，肝脾未触及，剑突下深压痛，宋扪及包块。B超示左右肝均可见2cm～3cm不等的结节样强回声。术前诊断 Male patient, 60 years old. Due to discomfort under the xiphoid accompanied by tar-like stool for 15 days, she came to our hospital on March 14, 1995, and gastroscopy was performed at the outpatient clinic to take a biopsy. The histopathological diagnosis of adenocarcinoma of the gastric antrum and gastric adenocarcinoma was admitted to hospital. Past history of hepatitis. Check the body flat, the liver and spleen is not touched, deep tenderness under the xiphoid, Song Yu and mass. B-mode ultrasound shows that nodules-like strong echoes ranging from 2 cm to 3 cm are seen in the left and right livers. Preoperative diagnosis