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肝脏枯否氏细胞肉瘤(Kupffer’s Coll Sarcoma)较少见,我科在30余年中发现1例报告如下。病例报告:患者女,62岁。无诱因发生上腹部胀痛2个月入院。查体:前胸可见蜘蛛痣,未见肝掌。剑突下可触及5×5cm 肿物,质硬,不活动,触痛明显,肝区叩击痛(+)。化验检查:TTT8UA/G=3.8/4.1g,AFP、AKP 正常范围。肝 B 型超声波和肝 CT 检查均提示肝左叶实质性占位病变。临床诊断肝癌,于1986年9月25日行肝左外侧叶切除术和胃次全切除术。
Kupffer’s Coll Sarcoma is less common in the liver, and one case was reported in our department for more than 30 years. Case report: Female patient, 62 years old. There was no incentive for upper abdominal pain to be admitted for 2 months. Physical examination: Spider paralysis was visible on the chest and no liver palms were seen. The xiphoid can touch 5×5cm tumors, hard, inactive, tender, and hepatic pain (+). Laboratory tests: TTT8UA/G=3.8/4.1g, AFP, AKP normal range. Liver B-mode ultrasound and hepatic CT examination showed a substantial occupying lesion in the left lobe. Clinical diagnosis of liver cancer, on September 25, 1986, left hepatectomy and subtotal gastrectomy.