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患者,男,57岁.因头晕、头痛7个月,体检发现肝肿大,上腹部CT示右肝9.4cm×10.4cm低密度占位影而入院.体格检查:BP26/13kPa,多血质面容,颈部、胸前区、肩背部可见多个蜘蛛痣,肝掌,肝肋下2cm,质硬,无触痛.化验RBC6.26×10~(12)/L,Hb202g/L,HCT0.67/L.SaO_298%.骨穿未见异常.肝穿病理报告为“肝细胞性肝癌”:分别于1996年5月8日,6月10日两次行肝动脉插管化疗,方案为碘油20ml,表阿霉素50mg,顺铂60mg,丝裂霉素10mg.化疗后复查RBC4.06×10~(12)/L,Hb 129g/L.HCT 0.41/L.
Patient, male, 57 years old. He suffered from dizziness and headache for 7 months. Physical examination revealed hepatomegaly. CT on the upper abdomen showed a low density of 9.4cm x 10.4cm in the right liver and was admitted to the hospital. Physical examination: BP26/13kPa, multiple bloody face Multiple spider axillae were found in the neck, chest area, shoulders and back, liver palms, liver 2 cm below the ribs, hard, without tenderness. Laboratory tests RBC6.26×10 12/L, Hb 202 g/L, HCT 0. 67/L.SaO_298%. Abnormal bone perforation was not observed. Liver puncture was reported as “hepatocellular carcinoma”: Hepatic arterial cannulation was performed twice on May 8, 1996 and June 10, respectively. The protocol was iodine. Oil 20 ml, epirubicin 50 mg, cisplatin 60 mg, mitomycin 10 mg. After chemotherapy, RBC 4.06×10 12/L, Hb 129 g/L.HCT 0.41/L.