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肝肿瘤的影像诊断思维 被引量:2

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摘要 例资料患者,男,78岁,近1个月无明显诱因出现体重下降约5 kg,无腹痛腹胀,无皮肤巩膜黄疸等不适,进食可,未就诊治疗。2 d前因进食后胸闷心慌于当地医院就诊,上腹部增强CT提示右肝巨大肿瘤(大小约为7.5 cm×6.6 cm),考虑原发性肝癌可能大,伴腹膜后多发淋巴结转移。患者为求进一步诊治于我院就诊,拟“肝肿瘤”收治入院,进一步完善相关检查。腹部B超提示肝内实质性肿物,考虑肝脏恶性肿瘤,腹膜后多发淋巴结肿大。淋巴结B超提示双侧锁骨上、左侧颈部及腋下淋巴结肿大。实验室检查:肿瘤标志物大致正常,AFP 0.87 ng/ml,CEA 3.68 ng/ml,CA12518.3 U/ml,HBsAg(-)。
出处 《影像诊断与介入放射学》 2019年第6期467-469,共3页 Diagnostic Imaging & Interventional Radiology
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