病历摘要患者，男，57岁，既往无肝炎病史，1997年9月以间断性肝区隐痛、乏力、气短二个月为主诉入院，查体：呼吸略促，巩膜轻度黄染，心肺正常，腹软，肝大剑突下7．0cm．质硬，移动性浊音阴性，入院后化验AFP638．15ng／ml，B超示肝右叶散在数个大小不等之稍强回声团部分相 Medical record summary Patient, male, 57 years old, had no previous history of hepatitis. In September 1997, he was admitted to hospital with intermittent liver pain, fatigue, and shortness of breath for two months. Examination: slightly promoted breathing, mild yellow sclera, normal cardiopulmonary Soft abdomen, 7.0cm below the liver xiphoid. Hard-quality, mobile dullness was negative, AFP 638.15 ng/ml was tested after admission, B ultrasound showed that the right lobe of the liver was scattered in several strong echogenic masses of different sizes.