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病人男,48岁。因上腹持续胀痛1月余,于1995年1月9日入院。入院前1个月出现上腹持续性腹痛,伴左胸前区牵涉痛、低热、厌食,体重减轻10kg。查体:皮肤、巩膜无黄染,肝肋下2.5cm,剑突下饱满,似扪及一包块,腹部移动性浊音(一),直肠肛门指检(一)。实验室检查:AFP<20μg/L。乙、丙肝PCR阴性,肝功能正常。AKP 0.23μmol·s~(-1)/L,CEA 11μg/L。 B超:左肝叶内见一146mm×97mm实质强回声包块,边界尚清晰,其内见不规则片状强回声,其余回声稍低。拟诊:肝癌。 CT检查:肝左叶见一12.0cm×10cm密度为均匀的略低密度影,边界欠清楚,强化后周缘环状增强明显,包块显示相对清楚。拟诊:左叶肝癌。
Male patient, 48 years old. Due to persistent abdominal pain for more than one month, she was admitted to hospital on January 9, 1995. Sustained epigastric abdominal pain occurred 1 month before admission, accompanied by pain, fever, anorexia, and 10kg weight loss. Physical examination: skin, sclera without yellow dye, liver under the ribs 2.5cm, xiphoid full, like phlegm and a mass, abdominal shifting dullness (a), rectal anal index (a). Laboratory tests: AFP < 20 μg/L. Hepatitis B and Hepatitis C have negative PCR and normal liver function. AKP 0.23 μmol·s-1/L, CEA 11 μg/L. B-ultrasound: In the left liver lobe, a 146mm × 97mm substantial echo mass was seen, the boundary was still clear, and irregular echoes were observed in the echoes, and the rest of the echo was slightly lower. To be diagnosed: liver cancer. CT examination: The left hepatic lobe showed a slightly lower density with a uniform density of 12.0 cm x 10 cm. The boundary was unclear. After the enhancement, the circumferential enhancement was obvious and the mass was relatively clear. To be diagnosed: Left lobe liver cancer.