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[求助]请张医生看看我父亲检查报告!!!!!!!!
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[求助]请张医生看看我父亲检查报告!!!!!!!!

请问张医生,我父亲54岁,身体一直较好,2006年1月26日因感到右下腹部胀痛,并牵扯右肩疼痛,于2006年1月27日到医院做了血清化验和B超,结果如下:

谷丙转氨酶      17                                                                                                        

谷草转氨酶      32                                                                                                      

谷丙/谷草      0.5                                                                                                          

总蛋白             77.7                                                                                                    

白蛋白             51.3                                                                                                

球蛋白             26.4                                                                                              

白球比             1.9                                                                                                

总胆红素          16.3                                                                                                  

直接胆红素       3.0                                                                                                

间接胆红素       13.3                                                                                                      

葡萄糖               4.77                                                                                                  

尿素氮               3.5                                                                                            

尿酸                   318                                                                                                        

肌酐                   74                                                                                              

甘油三脂            1.29                                                                                              

总胆固醇            5.10                                                                                                

乙型肝炎表面抗原       阳性                                                                                      

甲肝抗体-IgM              阴性                                                                            

丙肝抗体                     阴性                                                                            

甲胎蛋白                     阴性

B超结果如下:

肝脏:形态大小正常,右叶最大斜径约12.3cm,实质回声稍强,光电稍多稍粗,肝左叶内可见大小约1.5×1.4cm稍强回声占位,肝内血管显示清晰,门静脉内径约1.4cm。

胆囊:大小正常,壁粗糙,囊内未见确切光团等异常回声,囊壁可见稍强回声附着,大小约0.4cm,肝内外胆管不扩张。

胰腺:形态大小正常,实质回声均匀,未见确切占位。

脾脏:形态大小正常,肋间厚度约2.7cm,实质回声均匀,未见确切占位。

2月1日再做了一次中上腹CT增强扫描,肝左内叶见一结节影,直径约3cm。动脉期呈明显强化,门静脉期延迟扫描呈低密度,脾、胆囊、双肾、胰腺大小,形态,密度,未见异常。扫描层面内未见肿大淋巴结。

请张医生看下检查结果是否能确诊为原发性肝癌,如果确诊,采取怎样的治疗方法较好。

烦请张医生抽空帮忙看看检查报告,不胜感激!


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