One case of large gallbladder carcinoma
2007
病人,女,64岁,右上腹阵发性疼痛3个月,发现上腹部包块10 d,以"胆囊占位"入院.既往无特殊病史,患病以来体重下降约3 kg.查体:皮肤巩膜无黄染,略消瘦,浅表淋巴结无肿大.右上腹一质硬包块,压痛.CEA:1.45 ng/ml,CA19-9:12 U/ml.B超示:胆囊约13.5 cm×5.6 cm,与肝界限清,腔内被低密度回声团充填,考虑为胆囊实性占位:胆囊癌?增强CT示:胆囊明显肿大,囊内密度增加,囊壁呈局限性软组织样增厚,周围脂肪间隙不清,肝正常,未见腹腔淋巴结肿大,考虑为胆囊癌。
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