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有关肝母细胞瘤的报导日益增多,据不完全统计已超过300例。国内目前曾报告33例,其中有临床病理资料的21例。本文报告4例,并结合国内病例资料进行讨论。病例例1:女,5个月,发现右上腹包块4个月,近来发烧,腹泻,恶心呕吐,体质逐渐消瘦。腹部膨隆,右上腹触及肿物约儿头大,周界清楚,中等硬度,呈结节状,无压痛,活动范围甚小。肝在肋缘下4厘米。钡餐检查,肿物与肠遭无关。腹部平片:见肿物内有多数钙化影。血色素60％,红细胞326万,白细胞9000。肝功能:脑磷脂絮状试验++,谷丙转氨酶210单位,自旦白3.3克％,球旦白1.1克％。手术所见:肿瘤位于肝左叶,直径10厘米,作肝叶切除送检。
More reports on hepatoblastoma have been reported, according to incomplete statistics of more than 300 cases. There are currently 33 cases reported in China, including 21 cases of clinical and pathological data. This article reports 4 cases, combined with the domestic case information for discussion. Case 1: Female, 5 months, found the right upper quadrant mass 4 months, recent fever, diarrhea, nausea and vomiting, weight loss gradually. Abdominal bulge, right upper quadrant palpable tumor about the first large, clear perimeter, moderate hardness, nodular, no tenderness, the scope of activities is very small. Liver 4 cm under the costal margin. Barium meal examination, the tumor has nothing to do with the intestine. Abdominal plain film: see the majority of calcified shadow in the shadow. Hemoglobin 60%, red blood cells 3.26 million, white blood cells 9000. Liver function: brain phospholipid floc test ++, alanine aminotransferase 210 units, since the white 3.3 g%, ball white 1.1 g%. Surgical findings: The tumor is located in the left lobe of the liver, 10 cm in diameter, for liver resection submission.