原发性肝癌(国外英文资料).docVIP

原发性肝癌First history of illnessMale, 56. Due to abdominal distention, inferior, anemic, anemic, emaciated, emaciated, emaciated, in the 2012-11-18 income of the medical department.(1) the characteristics of the caseMiddle-aged men.Medical history: abdominal distension, anemic, anemic, anemic, emaciated, dilatation of the lower limbs for nearly three months. The abdominal distension is persistent and progressive, reducing weight loss by about 10 kilograms after onset of disease. Nausea, vomiting, acid regurgitation, belching, no pain, no black stool, and fearless cold, fever, dry mouth, drinks, polyuria, in September this year, at the time of our abdominal CT, the whole body PET/CT diagnosis of primary liver cancer. The abdominal distension was relieved by the release of abdominal water, supplemental blood albumin and diuretic treatment. The amount of urine has been reduced in recent days.Patient: TPRB: normal development, poor nutrition, thin body type, clear mind, and the answer is still relevant. The whole body has no yellow dye, no stasis, purpura, stasis, no liver, no spider. The superficial superficial lymph nodes are not enlarged. The sclera is not yellow and the palpebral conjunctival is pale. Oral pale. Full in abdomen, abdominal breathing, abdominal varicose veins, not seen gastrointestinal type and peristaltic wave, abdomen is soft, full abdomen were light tenderness, no rebound tenderness, liver to xiphoid process under 6 cm, 7 cm can hit right under the costal margin, qualitative hard, nodular surface, with tenderness. The spleen is not touched under the costal margin, and Murphy is negative, not touching the lumps, the upper part of the liver is located in the fourth rib of the middle line of the right clavicle, the liver area is rapping, the abdominal water is positive, the bowel sound is normal. The depression of the two sides of the knee joint is sagging.4 auxiliary examination: this year in September on our check abdominal CT tip: 1. The primary liver