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患儿,女,8个月。发现腹部包块四月余,进行性长大。体检:腹部隆起,腹壁静脉扩张,脐外凸。右腹可扪及一巨大囊性包块,边界清楚,固定。实验室检查,肝功能正常。临床诊断为腹部包块待诊。手术见巨大包块来自肝右叶,呈多囊性,各囊内共抽出浅黄色清亮液体1800毫升。切除包块。术后半年随访,病人情况良好。 病理检查 肿瘤大17×16×4cm,红褐色,表面光滑,囊液多已流失。切面呈多房性,囊腔大小不等,
Children, women, 8 months. Abdominal mass found in April, progressive growth. Physical examination: abdominal bulge, abdominal wall dilatation, umbilical convex. The right abdomen palpable with a huge cystic mass, clear boundary, fixed. Laboratory tests, normal liver function. Clinical diagnosis of abdominal mass to be diagnosed. See a huge piece of surgery from the right lobe of the liver, was cystic, a total of 1800 capsules of light yellow clear liquid extracted from the capsule. Excision of mass. After six months of follow-up, the patient was in good condition. Pathological examination Large tumor 17 × 16 × 4cm, reddish brown, smooth surface, cyst fluid and more have been lost. Section was multi-ventricle, cyst size range,