肝脏肿块——请分析病变性质

Journal of Clinical Radiology（2020）

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Abstract

患者男,29岁.13天前因劳累后出现皮肤巩膜黄染伴中上腹痛,呈持续性隐痛,全身乏力.既往史:有乙肝“小三阳”4余年;2年前有“肝性昏迷”史.实验室检查:甲胎蛋白(AFP)500.28 ng/ml(0.89-8.78),糖类抗原125(CA125) 108.1 U/ml(≤35),乙肝表面抗原(HBsAg) 512.46 ng/ml(0～0.08),总胆红素(TBIL) 161.3 μmol/L(5.0 ～21.0),直接胆红素(DBIL) 110.6 μmol/L(0 ～7.5),间接胆红素(IBIL)50.7μmo]/L(5.0 ～ 18.3),谷丙转氨酶(ALT)364 U/L(8 ～40),谷草转氨酶(AST)11O U/L(5 ～40).

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