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例1,女,26岁。因右上腹持续刺痛,伴不规则发热二月入院。否认肝炎史。B超示肝右后叶3.5×3.1cm相对低回声区,有声晕,形态不规则,内部回声欠均匀。CT示肝右后叶5×4.7cm低密度区,边界不清。化验:AFP血凝法1∶10(++),HBsag(-),白血球5.8×10~9/L。手术发现肿块位于肝右后叶下段,与膈肌及后腹膜有粘连。肝脏质软,肝门淋巴结不肿大,将肿块完整切除。 病理检查:肝标本4.5×3.8cm,肿块4×3.5cm,边界尚清楚,无明显包膜。镜下见肿块由增生的致密纤维组织构成,伴多量炎细胞浸润,邻近肝细胞有变性,坏死,汇管区有炎细胞反应。病理诊断:肝脏炎
Example 1, female, 26 years old. Due to persistent tingling in the right upper abdomen, irregular fever was admitted to hospital in February. Denies hepatitis history. Ultrasound showed a relatively low echo area of 3.5 x 3.1 cm in the right posterior segment of the liver. There was a sound halo, irregular morphology, and poor internal echo. CT showed a low density area of 5×4.7 cm in the right posterior segment of the liver with unclear boundaries. Laboratory tests: AFP hemagglutination 1:10 (++), HBsag (-), white blood cells 5.8×10-9/L. The tumor was found in the lower segment of the right posterior segment of the liver and had adhesion to the diaphragm and posterior peritoneum. The liver is soft and the hilar lymph nodes are not swollen. The mass is completely removed. Pathological examination: The liver specimen was 4.5 × 3.8cm, and the mass was 4 × 3.5cm. The border was still clear and no capsule was evident. Microscopically, the masses were composed of hyperplastic dense fibrous tissue, with a large number of inflammatory cell infiltration, degeneration and necrosis of neighboring hepatocytes, and inflammatory cell reaction in the portal area. Pathological diagnosis: Hepatitis