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患者男,53岁。以右上腹痛伴消瘦、乏力5个月余为主诉,于1989年3月22日入院。腹痛放射右腋下及背部,同年2月当地职工医院B超提示“肝右叶实性占位病变”,福州总医院CT提示右叶肝癌,AFP阴性,转我院诊治。否定肝炎病史,无肿瘤家族史。体检:消瘦。巩膜、皮肤无黄染。双锁骨上淋巴结(一),心肺(一)。腹平软,肝上界右锁骨中线第五肋间,右肋下未
Male patient, 53 years old. With the right upper quadrant pain associated with weight loss and fatigue for more than 5 months as the main complaint, he was admitted to the hospital on March 22, 1989. Abdominal pain radiates right underarm and back, and in February of the same year, the local staff hospital B-mode prompts “solid right hepatic lesions.” The CT of Fuzhou General Hospital indicated right hepatocellular carcinoma with negative AFP and he was transferred to our hospital for treatment. Negative history of hepatitis, no family history of cancer. Physical examination: weight loss. The sclera and skin are yellowish. Double supraclavicular lymph nodes (a), heart and lungs (a). Abdominal soft, upper right liver of the upper clavicular fifth intercostal space, right subcostal not