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我科1987年7月以来收治带蒂肝细胞癌2例,报告如下。例1,女,42岁。上腹不适,食欲下降3月,无痛性包块2月入院。BP 16/13.3kPa。巩膜不黄。中上腹膨隆,无腹壁静脉怒张,扪及15cm×14cm×13cm 包块,表面光滑,无压痛,可左右推移8cm,上下不活动,推动时剑突下有牵扯感。肝睥未扪及,移浊(—)。包块穿刺抽出少许淡红色液体及黄白色组织,镜检发现大量异型细胞。WBC 9.8×10~9/L,HAA1∶64,SGPT 34 U,A/G=1.05∶1,AFP 阳性。B 超:
Since July 1987, our department has treated 2 cases of pedicled hepatocellular carcinoma. The report is as follows. Example 1, female, 42 years old. Abdominal discomfort, loss of appetite 3 months, painless mass admitted to hospital in February. BP 16/13.3 kPa. The sclera is not yellow. In the upper abdomen bulging, no abdominal venous engorgement, palatal and 15cm × 14cm × 13cm mass, the surface is smooth, no tenderness, can be about 8cm left and right, up and down inactive, there is a sense of involvement under the xiphoid push. Liver sputum is not phlegm and turbidity (-). A small amount of light red liquid and yellow-white tissue were obtained by puncturing the mass, and a large number of abnormal cells were found on microscopic examination. WBC 9.8×10~9/L, HAA 1:64, SGPT 34 U, A/G=1.05:1, AFP positive. B super: