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B超对肝细胞癌的诊断率高达92.03％,但对少见的、侵入胆道并形成胆管癌栓的肝细胞癌常常误诊。为了探讨其诊断规律,现将我院近年经B超检查并行手术病理证实的4例报告如下。 1 病例报告 例1,男,54岁。以进行性皮肤、粘膜黄染、深竭色尿1月多入院。查体:肝肋下6cm,剑下10cm,胆囊大小10×3.2cm,内无光团。左右肝内胆管明显扩张,肝外胆管扩张,最大内径2.2cm,中上段管腔内散在光
The diagnostic rate of B-mode ultrasound for hepatocellular carcinoma is as high as 92.03%, but it is often misdiagnosed for rare hepatocellular carcinoma that invades the biliary tract and forms a bile duct thrombus. In order to discuss its diagnostic regularity, we report the following four cases confirmed by B-ultrasonography in recent years. 1 Case report Example 1, male, 54 years old. With progressive skin, yellow mucous membranes, deep exhaustion of urine admitted to hospital in January. Physical examination: liver 6 cm under the ribs, 10 cm under the sword, gallbladder size 10 × 3.2 cm, no light group. Left and right intrahepatic bile ducts were significantly dilated, extrahepatic bile ducts were dilated, with a maximum internal diameter of 2.2 cm. Light was scattered in the middle and upper lumens.