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患者男 ,4 2岁 ,因进行性消瘦 ,肝区疼痛来院诊治。体检 :一般情况可 ,消瘦 ,五官心肺无异常 ,无肿大淋巴结 ,腹膨隆 ,肝肋缘下 4ｃｍ处 ,质硬 ,压痛明显 ,表面未及结节 ,脾不大 ,移动性浊音阴性。辅助检查 :ＡＦＰ阳性 ,Ｘ线 :心肺无异常 ,消化道钡餐透视 :胃肠无异常 ,Ｂ超 :
The patient was a 42-year-old man who was admitted to the hospital due to progressive weight loss and liver pain. Physical examination: General conditions, weight loss, no abnormalities of the heart and lungs of the five organs, no enlarged lymph nodes, abdominal distention, 4cm below the liver margin, hard, tenderness, nodule on the surface, spleen is not large, mobile dullness is negative. Auxiliary examination: AFP positive, X-ray: no abnormal heart and lung, digestive tract barium meal perspective: no abnormal gastrointestinal, B ultrasound: