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患者男,59岁。右上腹部肿物伴疼痛、低热2月入院。体检:右上腹部肋缘下触及9×8cm肿块,质中等,基底部不活动,有触痛。肝同位素扫描及超声波检查示肝右叶占位性病变。肝功能检查正常。患者曾于1年前行肝右叶肿瘤切除术。病理诊断“肝腺瘤”。治疗经过在全麻下行肝右叶肿瘤切除,术中见肿瘤组织与周围粘连,剥离时包膜破溃,肿块送病理检查。术后用环磷酰胺、中药及抗生素等治疗,45d后于
Male patient, 59 years old. The right upper quadrant tumor was associated with pain and fever and was admitted to hospital in February. Physical examination: A 9×8 cm mass was touched under the costal margin of the right upper abdomen. The mass was moderate, and the base was inactive and tender. Hepatic isotope scans and ultrasound examinations showed lesions in the right lobe of the liver. Liver function tests were normal. The patient had hepatectomy of the right lobe 1 year earlier. Pathological diagnosis of “hepatic adenoma.” After the treatment, the right hepatic lobe tumor was removed under general anesthesia. During the operation, the tumor tissue and peripheral adhesions were seen. When the peeling, the capsule ruptured and the tumor was sent for pathological examination. After treatment with cyclophosphamide, Chinese medicine and antibiotics, after 45 days