患者　男 ,62岁 ,“乙肝”病史 10年 ,主诉乏力、纳差、严重腹胀伴黄疸等 6个月 ,于 2 0 0 2 -0 8来我科就诊。查体 :皮肤、巩膜中度黄染 ,腹部明显膨隆 ,腹壁静脉轻度曲张 ,肝、脾触诊不满意 ,右上腹部压痛 (+ ) ,腹水征 (+ ) ,腹围 10 6cm ;B超及CT提示为“肝右叶内实性占位 Male patient, aged 62, had a history of “hepatitis B” for 10 years. He complained of fatigue, anorexia, severe abdominal distension and jaundice for 6 months and came to our department at 200-280. Examination: The skin, the sclera moderate yellow dye, the abdomen was obviously bulging, mild varicose veins of the abdominal wall, palpation of the liver and spleen dissatisfaction, right upper quadrant tenderness (+), ascites sign (+), abdominal circumference 10 6cm; CT prompts for "solid right liver lobe occupying place