原发性肝脏癌肉瘤1例报告
Journal of Clinical Hepatology（2015）
Abstract
1 临床资料
患者男性,49岁,因发现肝占位2周入院.既往:乙型肝炎病史10余年.查体:全身皮肤黏膜无黄染,浅表淋巴结未触及肿大.腹软,无压痛及反跳痛.肝脾肋下未触及,肝区叩击痛阳性.辅助检查:入院时肝功能正常.外科综合提示:抗-HBs、抗-HBe、抗-HBc阳性.余化验结果未见明显阳性.肝胆胰多排CT平扫+三期增强(图1)可见:肝右叶见团块状低密度影,大小约6.4 cm×5.0 cm,CT值约25～43 HU,不均匀强化,肝内胆管未见扩张.影像诊断为:肝右叶占位性病变,首先考虑胆管细胞癌.
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