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穿刺细胞学及活检诊断肝脏类癌一例

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摘要 病人,女,53岁,上腹胀20余天,平卧后减轻,门诊腹部CT见肝脏多发性实性占位,肝癌首先考虑。入院后查体:肝右肋下4横指,剑突下平脐,表面不平,质硬,实验室检查:乙肝三系HBsAb(+),余均阴性,肝功能正常范围,CEA,AFP,CA19-9均正常范围,B超示右肝斜径约14.6cm,内见多个高回声团,最大约9.4cm×6.7cm.半月前曾行胃镜,肠镜检查,均未见异常.拟诊肝多发占位:恶性淋巴瘤?转移性肝癌?于B超引导下行肝内占位性病变穿刺术,首先采用20G细针吸取,吸出少量血性液体,涂片三张,
出处 《中华肝胆外科杂志》 CAS CSCD 北大核心 2009年第11期842-842,共1页 Chinese Journal of Hepatobiliary Surgery
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