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患儿,男,11岁,因进行性增大的右胸壁肿块2月,以原发性肝癌于1996年6月21日入院。否认肝病史,无黄疸,右侧锁骨中线Ⅴ～Ⅶ肋3.0cm×3.0cm隆突于胸壁的质硬、固定肿块,腹平坦,肝脾肋下未扪及,移浊(-)。HBsAg(+),肝功能正常,血清AFP25175μg/L。胸片见右Ⅶ肋前支破坏消失,骨扫描示右Ⅶ肋前支溶骨性破坏。腹部CT见右肝后叶10cm×10cm×8cm巨大实质性占位病变,其边界清楚,下腔静脉被肿块推移。7月8日在全麻下右肋缘
Children, male, 11 years old, had a progressive enlargement of the right chest wall mass in February and had primary liver cancer on June 21, 1996. No history of liver disease, no jaundice, the right clavicle midline Ⅴ ~ Ⅶ rib 3.0cm × 3.0cm protuberance in the chest wall of the hard, fixed mass, abdominal flat, no palpable ribs in the liver and spleen, shift turbidity (-). HBsAg (+), normal liver function, serum AFP25175μg / L. See right Ⅶ chest X-ray anterior destructive destruction of the ribs, bone scan showed right Ⅶ rib bony destruction. Abdominal CT see the right hepatic lobe 10cm × 10cm × 8cm huge substantive lesions, the clear boundary, the inferior vena cava was mass shift. July 8 in Costa Rican right margin