患者 ,女 ,35岁 ,农民。上腹部包块 9年。 8年前因“腹部包块”行剖腹探查 ,术中取活检诊断为“肝细胞腺瘤”,当时因肿瘤较大 ,未予切除。近年来由于包块增大明显 ,腹胀加重。入院查体 :除稍消瘦外 ,全身一般情况良好。上腹明显隆起 ,可触及肝缘达剑突下 4横指 ,质地较硬。血象 Patient, female, 35 years old, farmer. Upper abdominal mass for 9 years. 8 years ago due to “abdomen mass” laparotomy, intraoperative biopsy was diagnosed as “hepatic cell adenoma,” because the tumor was larger and was not removed. In recent years, due to the significant increase in mass, abdominal distension has increased. Admission examination: In addition to being slightly thin, the body is generally in good condition. The upper abdomen bulges prominently, reaching the edge of the xiphoid 4 horizontal fingers and the texture is hard. Blood