病人男性，65岁。右下腹包块进行性增大2月余，伴纳减，餐后上腹部他胀不适，消瘦乏力。19年前曾患乙型肝炎。体检：营养欠佳，无责疽。右腹部隆起，右下腹触及实性包块约12cm×8cm，可左右移动。右上腹也触及一实性包块约7cmX6cm，两包块均活动度差，表面光滑，无触痛。上下腹 Patient male, 65 years old. The right lower abdomen mass increased progressively for more than two months, with accommodative reduction, he was discomforted after the meal on the upper abdomen, weight loss and fatigue. He suffered from Hepatitis B 19 years ago. Physical examination: poor nutrition, no scolding. The right abdomen bulges, and the right lower abdomen touches the solid mass about 12cm x 8cm and can move left and right. The right upper abdomen also touches a solid mass about 7cmX6cm. Both masses are poor in motion, and the surface is smooth without tenderness. Upper and lower abdomen