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患者,女,38岁,农民.因右上腹包块六年,迅速增大8个月就诊.患者于六年前剧烈活动后自觉头昏、头晕、恶心,在外地医院经B超、CT检查,发现肝右叶有拳头大小之肿物,诊断为“肝癌”,未治疗以后一直无明显不适,近8月来包块逐渐增大.右上腹膨隆,无静脉怒张,触及巨大肿物,下界在脐下6cm,表面有压痛,脾不大、甲胎蛋白小于20ng/ml,肝功化验正常.B超检查见,肝脏轮廓清晰,体积增大,下界达脐下6cm,形态失常,左叶明显向左及左下移位,肝右后叶有40×30cm大小之混合性回声之肿块,有大小不等之强回声、低回声团块及不规则之无回声暗区,肿块与肝实质分界界线清楚.B
The patient, female, 38 years old, farmer. The mass of the right upper abdomen increased rapidly for 8 months. The patient felt dizziness, dizziness and nausea after intense activity six years ago. He was diagnosed with ultrasound and CT in a foreign hospital. Found that the right hepatic lobe has a fist-sized mass, which is diagnosed as “liver cancer”. After untreated, there has been no obvious discomfort. In recent August, the mass has gradually increased. The right upper quadrant distention, no venous engorgement, and large masses have been touched. The lower bound is 6cm below the umbilicus. There is tenderness on the surface. The spleen is not large. AFP is less than 20ng/ml. The liver function tests are normal. B-ultrasound findings show that the liver is clear and the volume is increased. The lower border is 6cm below the umbilicus, and the shape is abnormal. The leaves were clearly shifted to the left and left, and there were mixed echogenic masses of 40×30 cm in the right posterior lobe of the liver. There were strong echoes, hypoechoic masses, and irregular echo-free dark areas, with masses and hepatic parenchyma. Boundary is clear. B