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患者,女,36岁。因上腹闷痛2月,发现腹块半月入院。外院曾作穿刺活检诊断肝细胞肝癌。体查:巩膜无黄染,剑突下触及6×6cm质硬结节状肿块,脾未触及,移动性浊音(—)。实验室:肝功正常,AFP400ug/L。B超示左肝占位病变拟肝癌,脾不大。 肝动脉造影见肝门部10×8cm肿瘤染色,门脉早显并有主干瘤栓。肠系膜上动脉间接门脉造影见门脉主干瘤栓闭塞,仅有小支入肝,其右下方有粗大之异常静脉分成多支进入右肝。行肝动脉碘油化疗药乳剂及明胶海
Patient, female, 36 years old. Due to abdominal suffocation in February, it was found that the abdomen was admitted to the hospital half a month ago. The hospital used to perform biopsy to diagnose hepatocellular carcinoma. Physical examination: The sclera was yellow-stained, and the xiphoid touched a 6×6 cm hard nodular mass, which was not touched by the spleen, and the dullness (−) was shifted. Laboratory: Normal liver function, AFP 400ug/L. B-ultrasound showed left hepatic space-occupying lesions to be hepatomas with little spleen. Hepatic arteriography showed 10×8cm tumor staining in the hilar, early portal vein thrombosis, and main tumor thrombus. The superior mesenteric artery indirect portal vein angiography sees the occlusion of the main portal vein tumor with only a small branch into the liver, and a large abnormal vein at the lower right divides into multiple branches into the right liver. Hepatic Artery Lipiodol Chemotherapeutic Emulsion and Gelatin Sea