超聲造影、增強CT及MRI同時誤診肝血管平滑肌脂肪瘤1例
發(fā)布時間:2018-06-02 17:57
本文選題:右鎖骨中線 + CT。 參考:《廣東醫(yī)學》2014年15期
【摘要】:正患者,男,39歲,無明顯不適,因外院體檢發(fā)現(xiàn)肝臟占位于2013年9月29日入院。體格檢查:一般狀況良好,全身皮膚、鞏膜無黃染,肝脾肋下未觸及,未觸及腫大的淺表淋巴結(jié)。肝上界位于右鎖骨中線第5肋間,下界于右鎖骨中線肋下約5 mm,質(zhì)中,無壓痛叩痛。相關(guān)生化檢查:腫瘤四項指標正常;直接膽紅素10.26μmol/L,間接膽紅素8.93μmol/L,谷草轉(zhuǎn)氨酶139.48 U/L,谷丙轉(zhuǎn)氨酶201.34 U/L;乙型肝炎六項示"小三陽"。影像學檢查:外院增強CT:肝S5段膽囊窩旁見一結(jié)節(jié)狀等密
[Abstract]:The patient, male, 39 years old, had no obvious discomfort. The physical examination showed that the liver was located in the hospital in September 29, 2013. Physical examination: general condition, skin, sclera without yellow dye, untouched under the liver and spleen, untouched superficial lymph nodes, the upper boundary of the right clavicle in the fifth ribs, the lower boundary of the right clavicle, about 5 mm under the middle rib of the right clavicle, in the mass, No pressure pain percussion. Related biochemical examination: four indexes of tumor were normal, direct bilirubin 10.26 mol/L, indirect bilirubin 8.93 u mol/L, glutamic pyruvate transaminase 139.48 U/L, alanine aminotransferase 201.34 U/L, and six items of hepatitis B showed "small three yang".
【作者單位】: 南昌大學第二附屬醫(yī)院超聲科;
【分類號】:R735.7;R445;R730.44
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本文編號:1969667
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