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60岁女性患者,因右上腹部阵发性疼痛就诊,4年前患右侧卵巢粘液囊腺癌行右卵巢切除术。在B超指引下对肝脏二个液性暗区进行穿刺,穿刺液呈咖啡色或暗黑色。对二次肝穿液及同日的血清样本一起作癌胚抗原(CEA)和甲胎蛋白(AFP)测定。结果旰穿液CEA为105ng/ml和>80ng/ml,血清CEA为5ng/ml和13ng/ml。肝穿液和血清的AFP均<20ng/ml。肝穿液细胞学检查,找到癌细胞。临床诊断:右卵巢腺癌伴肝转移。癌胚抗原是一种糖蛋白,在胎儿肠组织内合
60-year-old female patient was diagnosed with paroxysmal pain in the right upper quadrant and had right ovariectomy 4 years ago with right ovarian mucinous cystadenocarcinoma. Under the guidance of the B-two punctured the liver dark liquid region, puncture fluid was brown or dark brown. Carcinoembryonic antigen (CEA) and alpha-fetoprotein (AFP) were determined with the secondary liver transfusions and the same day serum samples. RESULTS: CEA was 105 ng / ml and> 80 ng / ml and serum CEA was 5 ng / ml and 13 ng / ml respectively. Liver transfusions and serum AFP were <20ng / ml. Liver through liquid cytology to find cancer cells. Clinical diagnosis: right ovarian cancer with liver metastasis. Carcinoembryonic antigen is a glycoprotein that binds in fetal intestinal tissue