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在巨块状肝癌中,有一类呈带蒂向肝外生长,几乎很少累及肝脏本身而称为带蒂性肝癌(Pedunculat-ed Hepatocellular Carcinoma),临床上极罕见,容易误诊。到目前为止,世界文献仅有约50例报告。作者收治3例,报告如下.例1,女,27岁,以右上腹间歇性疼痛伴肿物于1982年10月26日入院。2月前开始右上腹疼痛、B超检查为胆囊炎,右肋下可触及18×15cm肿物,界清、表面光滑、质韧、可活动、重压则痛。AFP<30μg/L,同位素扫描未见肝占位病变。手术探查发现血性腹水约500ml,肿瘤呈前后分叶状以1cm短蒂长
In giant massive hepatocellular carcinoma, there is a type of pedunculated liver that grows to the outside and is rarely called the peduncle hepatoma (Pedunculat-ed Hepatocellular Carcinoma). It is rarely seen clinically and is easily misdiagnosed. So far, only about 50 cases have been reported in the world literature. The authors treated 3 cases and reported the following. Example 1, female, 27 years old, admitted to hospital on October 26, 1982 with intermittent pain and masses in the right upper abdomen. 2 months ago began to pain in the right upper quadrant, B-ultrasound for cholecystitis, can be touched by the right ribs 18 × 15cm tumor, clear boundary, smooth surface, quality and tough, can move, weight is pain. AFP <30μg/L, liver lesions were not seen by isotope scans. Surgical exploration revealed bloody ascites of approximately 500 ml, and the tumor was antero-lobed with 1 cm short pedicle length.