手术切除后经多次TACE治疗的肝血管肉瘤1例
Chinese Hepatology（2023）
Abstract
患者,男,35岁,2019年1月出现无明显诱因的右腹痛,于外院确诊为原发性肝血管肉瘤(primary hepatic angiosarcoma,PHA),手术切除部分肝脏及胆囊.2019年10月来我院复查,实验室检查肝功能良好,仅有γ谷氨酸转移酶轻度升高,为67U/L.患者有原发性血小板减少性紫癜(idiopathic thrombocytopenic purpura,ITP)病史,血小板计数较低,为 76 X109/L.患者无肝炎病史且乙型肝炎病毒表面抗体阳性,肿瘤标志物检查结果如下:AFP 5.51 ng/mL;CEA 1.87 ng/mL;CA199 5.66 u/mL;CA125 6.00 U/mL;CA153 18.00 U/mL.
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