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患者,男,25岁。右上腹持续性胀痛伴肝大和消瘦3个月入院。查体:腹膨隆,肝上界右锁骨中线第4肋间,下界右肋缘下8 cm,剑下6 cm,质中软,表面光滑,移动性浊音(一)。B 超:肝右前叶有8.2×7.4cm 占位性病变。化验;Hb:95g/L,AFP>40000ng/ml,肌肾功能正常。X 线胸片:左肺第一肋间中带有1 cm 密度均匀、边界清楚的阴影。诊
Patient, male, 25 years old. Sustained pain in the right upper abdomen with hepatomegaly and emaciation was admitted to the hospital for 3 months. Physical examination: abdominal distension, upper right liverbone middle line 4th intercostal space, lower border right costal margin 8 cm, lower sword 6 cm, soft mass, smooth surface, shifting dullness (I). B super: 8.2 x 7.4cm occupying lesion in the right anterior lobe. Laboratory tests; Hb: 95 g/L, AFP> 40000 ng/ml, normal muscle and kidney function. X-ray: The first intercostal space in the left lung has 1 cm of uniform, well-defined shadows. Diagnosis