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患者,男,59岁,因右上腹疼痛不适1年,加重伴消瘦1月入院。否认肝病史及肿瘤家族史。院外曾外敷软坚化结中药。查体:腹部平坦,肝肋下3cm、剑下6cm,表面光滑,质地中等,轻压痛,脾脏未扪及。实验室检验:HBsAg(-),肝功能childA级,AFP20μg/L;院外CT片显示肝内多发性实质性占位病变(
The patient, male, 59 years old, suffered discomfort in the right upper quadrant for 1 year, and he was admitted to hospital with aggravated amputation in January. Denies liver histories and family history of cancer. Outside the hospital had external application of soft solidification of Chinese medicine. Physical examination: The abdomen is flat, the liver is under the ribs 3cm, the sword is 6cm, the surface is smooth, the texture is medium, the tenderness is light, and the spleen is not affected. Laboratory tests: HBsAg(-), liver function grade childA, AFP 20μg/L; extra-hospital CT scans showed multiple intrahepatic mass lesions (