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我院自1983年9月至1984年8月,采用肝去动脉化加5—FU肝动脉灌注治疗不能手术切除的原发性肝癌(以下称为肝癌)14例,经治疗后其中3例AFP火箭电泳法转阴。现报告如下。例1.男,45岁。1984年3月在体检时发现AFP阳性收入院。自觉一月前右上腹不适。无明显消瘦,曾有肝炎病史。查体:营养中等,皮肤巩膜无黄染,全身浅表淋巴结无肿大。心肺未见异常。腹平软,肝大右肋下3cm,质软。有轻度压痛,脾未扪及。腹水(一)。肝核素γ照像,见左内叶和右叶内侧近肝顶部放射性物质分布不均匀。B型超声提示肝左叶占位性病变。AFP对流法强阳性,AFP火箭电泳法5000
In our hospital from September 1983 to August 1984, liver dearterialization and 5-FU hepatic arterial infusion were used to treat 14 cases of primary hepatocellular carcinoma (hereinafter referred to as hepatocellular carcinoma) that could not be surgically removed. After treatment, 3 cases of AFP were treated. Rock electrophoresis turned negative. The report is as follows. Example 1. Male, 45 years old. In March 1984, AFP positive income hospital was discovered during physical examination. Conscious one month before the upper right abdomen discomfort. No significant weight loss, had a history of hepatitis. Physical examination: Moderate nutrition, no yellow stain on the skin sclera, and no enlargement of superficial lymph nodes. No abnormalities in heart and lung. The abdomen is soft and the liver is 3 cm below the right rib and is soft. Mild tenderness, spleen and sputum. Ascites (a). In radionuclide gamma photographs, the distribution of radioactive material at the top of the proximal liver in the left inner lobe and right lobe is not uniform. B-mode ultrasound prompted left hepatic leaf occupying lesions. Strong positive AFP convection method, AFP rocket electrophoresis 5000