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患者女,23岁。右上腹隐痛不适5天入院。体检:腹平软,肝肋下3指,肝区叩击痛(-),全腹无压痛。既往无肝炎、血吸虫等传染病史,无口服避孕药史。实验室检查:AFP1.92 ng/ml,CEA 1.66 ng/ml。MRI见肿瘤位于肝右叶前下段(Ⅴ段),类圆形,大小约58 mm×56 mm,T2WI呈高信号,信号欠均匀(图1),T1WI呈均匀低信号(图2),Gd-EOB-DTPA增强扫描动脉期病灶明显
Female patient, 23 years old. Right upper quadrant pain and discomfort 5 days admission. Physical examination: abdominal soft, liver ribs 3 fingers, liver percussion pain (-), no tenderness in the whole abdomen. Past no history of hepatitis, schistosomiasis and other infectious diseases, no history of oral contraceptives. Laboratory tests: AFP 1.92 ng / ml, CEA 1.66 ng / ml. MRI showed the tumor located in the anterior and posterior segment of the right lobe of the liver (Ⅴ section), with a round shape with a size of about 58 mm × 56 mm. The T2WI showed a high signal and the signal was even (Figure 1). The T1WI showed a uniform low signal (Figure 2) -EOB-DTPA enhancement scan arterial phase lesions significantly