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病人女性,52岁。因右上腹胀痛20d、伴纳差10d,以“肝脏占位性病变”于2010-10-13收入院。既往曾有肝内外胆管结石病史。查体:皮肤、巩膜无黄染,腮腺及下颌部未扪及异常,右上腹压痛,肝脏肋缘下未扪及。实验室检查:AFP3.1μg/L,CEA3.20μg/L,CA19-9>700kU/L,CA125128.5μg/L。腹部CT(图1)提示:(1)肝右后叶见一不规则形低密度灶并向肝轮廓外突出
Female patient, 52 years old. Due to pain in the right upper quadrant 20d, with anorexia 10d, with “liver space-borne lesions ” in 2010-10-13 income hospital. Past history of intrahepatic bile duct stones. Physical examination: skin, sclera no yellow dye, parotid gland and jaw are not palpable abnormalities, right upper quadrant tenderness, the liver is not palpable under the costal margin. Laboratory tests: AFP3.1μg / L, CEA3.20μg / L, CA19-9> 700kU / L, CA125128.5μg / L. Abdominal CT (Figure 1) prompts: (1) see an irregular low-density lesion in the right posterior lobe of the liver and protruding to the outline of the liver