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患者女,68岁。3个月前无明显诱因出现上腹部饱胀不适,食欲食量渐差。体格检查:胸腹壁可见曲张静脉,上腹部可触及一大小约15 cm×12 cm包块,无触痛,活动性尚可。外院上腹部CT平扫提示为肝囊肿。我院超声检查示:肝内可见多个无回声包块,较大者约15 cm×11 cm,边界清晰,形态规则,内壁上均可见乳头状突起(图1),无明显血流信号。超声诊断:肝囊腺瘤可能(建议进一步检查排除癌)。腹部增强CT+CTA示:肝左叶可
Female patient, 68 years old. 3 months ago, no obvious incentive to appear on the abdomen distention, appetite food intake gradually worse. Physical examination: Visible thoracic and abdominal wall varicose vein, the upper abdomen can reach a size of about 15 cm × 12 cm mass, no tenderness, activity is acceptable. The lower abdomen CT scan showed abdominal cysts. Ultrasound examination of our hospital showed that there were multiple anechoic masses in the liver. The larger ones were about 15 cm × 11 cm. The boundaries were clear and the morphology was regular. The papillary processes were visible on the inner wall (Fig. 1). There was no obvious blood flow signal. Ultrasound diagnosis: cystadenoma possible (recommended further examination to exclude cancer). Abdomen enhanced CT + CTA show: left liver can be