表现为原位癌改变的肝囊肿1例
China Journal of Modern Medicine(2020)
Abstract
1 临床资料
患者男性,45岁,因发现肝囊肿1月余入院.患者1个月前因胃部不适就诊于当地医院,腹部彩超提示肝巨大囊肿,约14 cm×11 cm.无特殊病史.入院时诉上腹部少许胀满感,无腹痛.查体无特殊.查CEA、AFP、CA19-9正常,肝功能:ALT 436 u/L, AST 254 u/L,ALP 218 u/L,GGT 223 u/L.腹部CT平扫提示肝内多发大小不等类圆形、团块状液性低密度影,边界清,较大者为14.3 cm×11.6 cm×12.7 cm,大部分突出肝包膜外,CT值8 HU(见图1、2).诊断为肝囊肿(多发).
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