论文部分内容阅读
患者男,57岁。右上腹阵发性胀痛2月余入院,既往无病毒性肝炎病史。体检:体温正常,右上腹轻压痛。实验室检查血白细胞及中性粒细胞正常,AFP正常。影像学检查:CT平扫示肝右叶增大,左叶缩小,肝左外叶见一稍低密度肿块,边界欠清,大小约6.4 cm×4.7 cm×4.6 cm(图1);增强扫描病灶边缘实性部分呈渐进性强化,CT值分别为75 HU、107 HU、112 HU,中央可见大片未强化坏死区,病灶由肝左动脉供血(图2~4),腹腔内及腹膜后未
Male patient, 57 years old. Right upper quadrant paroxysmal pain more than 2 months admitted to hospital, past history of no history of viral hepatitis. Physical examination: normal body temperature, mild upper right tenderness. Laboratory tests of normal white blood cells and neutrophils, AFP normal. Imaging examination: CT scan shows the right lobe of the liver is enlarged, the left lobe is reduced, a little low density mass is seen in the left lobe of the liver, and the border is not clear. The size is about 6.4 cm × 4.7 cm × 4.6 cm (Figure 1) The solid part of the edge of the lesion showed gradual enhancement. The CT values were 75 HU, 107 HU and 112 HU, respectively. The mass showed no enhancement of necrotic area in the center. The lesion was supplied by the left hepatic artery (Fig.2-4), intraperitoneal and retroperitoneal