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患者女,62岁。主因持续性中上腹胀痛伴双下肢浮肿20d入院。查体:中上腹可触及一约8cm×6cm大小包块,质软,活动欠佳,有触痛,与周围组织界限欠清。血尿便常规、肝肾功及肿瘤标记物未见明显异常。常规超声检查:右肝后方下腔静脉扩张,内可见椭圆形实性低回声肿块充填,上至右心房入口处,下达肾静脉水平,大小约14.4cm×6.7cm×5.4cm,边界欠清,内分布不均匀,CDFI示:近边缘处可见
Female patient, 62 years old. Mainly due to persistent upper abdominal pain with double lower extremity edema admitted 20d. Examination: the upper abdomen can reach a size of about 8cm × 6cm mass, soft, poor activity, tenderness, and the surrounding tissue deficiencies. Hematuria routine, liver and kidney function and tumor markers no significant abnormalities. Routine ultrasound examination: the right hepatic inferior vena cava dilated, visible within the elliptical solid hypoechoic mass filling, up to the right atrium entrance, issued by the level of renal veins, the size of about 14.4cm × 6.7cm × 5.4cm, the border is not clear, Within the uneven distribution, CDFI shows: near the edge can be seen