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患者男,53岁。上腹不适1个月,CT示肝左叶肿瘤入院,无黄疸,甲胎蛋白、CA-199均为阴性。超声示肝左叶多个边界不清晰、形态不规则的低回声,较大3.9cm×2.5cm,其内未见明显血流信号。胆总管增宽达1.6cm,胆总管、肝总管及左肝管内可见条索状高回声,其内未见血流信号。SonoVue造影,肝左叶及胆道内病灶均呈“快进快出”增强模式。超声诊断:肝左叶胆管细胞癌并左肝管、肝总管及胆总管内癌栓形成可能。患者于我院行左半肝及胆囊切除+胆总管探查+T管引流术。术中所见:肝左
Male patient, 53 years old. Abdominal discomfort 1 month, CT showed left hepatic lobe tumor admission, no jaundice, a fetoprotein, CA-199 were negative. Ultrasound showed a number of left hepatic lobe border is not clear, irregular low echoes, larger 3.9cm × 2.5cm, no significant blood flow within the signal. Common bile duct up to 1.6cm wide, common bile duct, hepatic duct and left hepatic duct visible cord-like echo, which no blood flow signal. SonoVue angiography, left lobe of liver and biliary tract lesions were “fast forward fast” mode. Ultrasound diagnosis: left hepatic lobe cholangiocarcinoma and left hepatic duct, hepatic duct and common bile duct thrombosis may be. Patients in our hospital left half of the liver and cholecystectomy + common bile duct exploration + T tube drainage. Intraoperative findings: Liver left