肝脏原发性肝癌较多见,而肉瘤较少见,仅占肝恶性肿瘤的1—2％,其中平滑肌肉瘤更为罕见。我院收治1例,报告如下。病历摘要患者,男,29岁,干部。平素身体健康,82年3月底感右上腹部疼痛,呈持续性胀痛,无放射感。伴低热(37～38℃),次月右上腹可扪及包块,无触痛。肿物日渐增大,同年8月17日入我院内科行肝穿活检, Liver primary liver cancer is more common, and sarcomas are rare, accounting for only 1-2% of malignant liver tumors, of which leiomyosarcoma is even rarer. In our hospital, 1 case was reported as follows. Medical records of patients, male, 29 years old, cadres. Normally, he felt good health and felt pain in the right upper abdomen at the end of March 82. Sustained pain and no radiation. With low fever (37 ~ 38 °C), the right upper abdomen can be palpable and mass, no tenderness. The mass of the tumor increased day by day. On August 17 of the same year, the liver biopsy was performed in our department of internal medicine.