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肝脏恶性孤立性纤维性肿瘤一例 被引量:2

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摘要 患者男,41岁,主因“右上腹部胀痛不适2个月余”于我院就诊。既往体健,否认肝炎、高血压及糖尿病史,否认药物过敏史。查体:全腹软。肝右肋下缘及剑突下可触及实质性包块,质偏硬,无压痛。实验室检查未见明显异常。行腹部CT检查肝右叶可见一孤立性的密度不均匀类圆形肿物,边界清楚,大小7.5cm×7.0cm(图1A);增强CT动脉期呈部分强化(图IB)。全麻下行肝s5段切除术+胆囊切除术,整个手术过程顺利,术中出血约300ml。剖开标本见切缘呈灰白色,质软韧。病理检查(图2A):梭形肿瘤细胞呈弥漫性分布,呈漩涡状。
出处 《中华普通外科杂志》 CSCD 北大核心 2017年第5期456-456,共1页 Chinese Journal of General Surgery
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