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我院收治了一家先后患原发性肝癌的父子三人,现将病例报告如下: 例1、男、39岁,干部,因腹胀、肢肿、消瘦1月、黑便1周入院。半年前曾因剑突下痛而行钡餐检查,诊为“胃下垂”,未治。1月前感纳差腹胀,右季肋部胀痛,检查肝功正常。近周出现黑便而入院。无烟酒嗜好及肝炎。查体:消瘦、心肺正常,肝肋下7cm,边钝质硬,表面呈结节状,无血管杂音;脾大肋下3cm,质中等硬,边纯,无触痛,AFP(+),肝穿刺为原发性肝细胞癌。 例2,男,60岁,农民,例1之父,因通知来队
In our hospital, a father and son who has suffered from primary liver cancer have been reported. The cases are reported as follows: Case 1, male, 39 years old, cadres admitted to hospital for bloating, extremity swelling, wasting for 1 month, and black stool for 1 week. Six months ago, he had undergone barium meal examination because of a sudden xiphoid pain. He was diagnosed as having “gastric prolapse.” Abdominal bloating was felt before January, and the right quarter ribs were pained and checked for normal liver function. Black stools appeared in the hospital in the recent weeks. Non-smoking alcohol hobby and hepatitis. Physical examination: weight loss, normal heart and lung, liver subcostal 7cm, hard side blunt, nodular surface, no vascular murmur; splenomegaly rib 3cm, medium hard, pure, no tenderness, AFP (+), Liver puncture is primary hepatocellular carcinoma. Example 2, male, 60 years old, peasant, father of case 1, came to the team for notification