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患者,男,42岁,住院号247712。患者自1994年7月出现持续性上腹胀痛,伴腰周束带样疼痛,经腹部B超、CT证实肝左叶有一6.8cm×4.2cm块影,腹膜后淋巴结肿大。查血AFP>400mg/ml,诊断为原发性肝癌,分别于1994年11月30日、1995年1月20日行肝动脉插管及化疗。1995年2月腹部CT提示胰头、门腔静脉及腹膜后淋巴结转移,予再次行肝动脉插管化疗,并行腹膜后区钴60放疗。患者自1995年5月8日出现左足背疼痛、持续性,不能行走,查体:左足背局部隆起、红肿、
Patient, male, 42 years old, hospital number 247712. The patient had persistent epigastric pain in July 1994 with lumbar band-like pain. The abdomen B-scan and CT confirmed that the left hepatic lobe had a 6.8cm x 4.2cm patch and retroperitoneal lymph nodes. Check blood AFP> 400mg/ml, diagnosed as primary liver cancer, and hepatic arterial cannulation and chemotherapy were performed on November 30, 1994 and January 20, 1995, respectively. In February 1995, abdominal CT revealed pancreatic head, portal vein, and retroperitoneal lymph node metastases. Hepatic arterial infusion chemotherapy was performed again, and retroperitoneal Co 60 radiotherapy was performed. The patient developed left foot pain and persistence on May 8, 1995 and could not walk. Physical examination: local swelling, swelling, and left heel.