患者男,61岁。11月前无意中发现上腹部一鸡蛋大肿物,无痛,渐长大。于1986年11月26日入院查一般情况尚可,上腹剑突下明显隆起,扪及一20×20cm的哑铃状包块,质韧,表面尚光滑,活动度差,随呼吸而上下活动,无医痛,腹水征(-)。化验室检查:AFP<20μg/L,谷丙转氨酶>300单位/ml,HBsAg、抗HBs、HBcAg和抗HBc均阴性,总蛋白 Male patient, 61 years old. Before 11 months ago, I found a large tumor of the upper abdomen, painless, and grew up. On November 26th, 1986, the general condition was acceptable. The upper abdomen under the xiphoid process was obviously uplifted, accompanied by a 20-by-20cm dumbbell mass. The quality was tough, the surface was still smooth, and the activity was poor. , without medical pain, ascites sign (-). Laboratory examination: AFP <20μg/L, alanine aminotransferase> 300 units/ml, HBsAg, anti-HBs, HBcAg and anti-HBc negative, total protein