摘要
49岁男性患者,因右上腹痛半个月,全腹胀10天入院。血CA199及CA125升高,腹水呈黄色微混浊,化验示渗出液,MRI提示肝周腹膜增厚,肝方叶前缘占位病灶。患者入院后经利尿、抽腹水治疗效果不佳,后行腹腔镜检查,术后石蜡切片病理证实为腹膜间皮瘤。本例患者MRI表现容易与原发性肝癌混淆,医师在临床工作中应提高对腹膜间皮瘤的认识,以期及早诊断,为完全切除肿瘤创造条件。
A 49-year-old male was admitted because of abdominal pain in right upper quadrant for half a month and abdominal distention for 10 days. The CA199 and CA125 in serum were elevated, and acites was yellow. Acites was extravasate which was indicated by laboratory examination. Abdominal MRI showed that parahepatic peritonuem was thickened and a mass was situated in the quadrate lobe of the liver. This patient was not responsive to diuresis therapy and paracentesis. Then lhparoscopy was employed to elucidate diagnosis of this patient, and tissues of peritonuem were retrieved by laparoscoy. Based on gross and histopathological findings, the diagnosis of peritoneal mesothelio- ma was established. The representation of MRI in this patient was similar to that of primary hepatocellular carcinoma, Clinicians should be a- lert to this condition.
出处
《胃肠病学和肝病学杂志》
CAS
2008年第6期440-440,443,共2页
Chinese Journal of Gastroenterology and Hepatology
关键词
腹膜间皮瘤
原发性肝癌
Peritoneal mesothelioma
Primary hepatocellular carcinoma
