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患者男性,52岁。因上腹部持续性闷痛伴发热,纳差,消瘦2~+月,拟诊溃疡病于1989年5月3日入院。既往无肝炎及胆道感染史。体检:巩膜无黄染,浅表淋巴结不大;腹肌软,剑突下偏右可扪及8×5×3cm肿物,质硬,表面不平,有压痛,活动度差;肝脾肋下未及,腹水征(-)。直肠指检未及异常。化验室检查:WBC6.79×10~9/L,肝功能正常,HBsAg(-),AFP(-),A/G4.12/2.70;B超示肝左叶有一4.5×4.5cm低回声区,考虑为肝癌;CT:肝门区有一直径约1cm高密度影,左外叶有块状5×
The patient is male, 52 years old. Due to persistent abdominal pain in the abdomen with fever, anorexia, weight loss 2 ~ + months, the proposed diagnosis of ulcer disease was admitted to hospital on May 3, 1989. Past history of hepatitis and biliary tract infection. Physical examination: The sclera is yellow-stained, and the superficial lymph nodes are not large; the abdominal muscles are soft, the xiphoid can be directed to the right and 8×5×3cm tumors are hard, the surface is uneven, there is tenderness, and the activity is poor; liver and spleen ribs Less than, ascites sign (-). The rectal examination was abnormal. Laboratory examination: WBC 6.79 × 10~9/L, normal liver function, HBsAg(-), AFP(-), A/G4.12/2.70; B-mode ultrasound shows that the left hepatic lobe has a 4.5×4.5 cm hypoechoic area , Considered as liver cancer; CT: a high-density shadow of about 1cm in diameter in the portal area, and a massive 5x in the left outer lobe