再生障碍性贫血伴发肝细胞癌1例
Chinese Journal of Diagnostic Pathology（2022）
Abstract
患者,男,28岁.因"肝占位性病变"于2020-02-20收治于北华大学附属医院肝胆外科.患者于入院前1d无明显诱因突然出现上腹部疼痛,呈间断性胀痛,恶心但无呕吐,伴反酸,否认肝炎及糖尿病病史,无嗜酒及吸烟史.查体:患者发育正常,营养中等,表情痛苦,呈贫血貌,口唇苍白,上腹部压痛阳性.超声显示肝右叶无回声区,脾稍大.CT显示肝右叶团片状低密度影.MRI轧塞酸二钠注射液增强示肝右叶结节影延迟期及肝胆期呈不均匀明显强化.
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