肝癌、肝腹水（腹胀、胀气）

网友性别：男年龄：65 婚育情况：已婚

2014-01-17 11:13:57 | 浏览：667

病人有肝腹水，检查结果：甲胎蛋白大于3000，癌胚抗原为6.6。腹部B超显示：1、肝右叶占位性病变 2、肝硬化 CT影像表现：肝周及脾周可见液样低密度带，肝体积缩小，表面不平，局部可见团块突出，肝内密度不均，肝左右叶分别见混杂低密度，肝右叶可见钙化样高密度存在，胆囊不大，囊壁或增厚，囊内见点状高密度，脾稍厚。增强表示病灶动脉期病灶明显不均匀强化，门脉期持续强化，延迟扫描病灶呈低密度，门脉期或见门静脉充盈缺损，胆囊、胰腺及所示双肾无异常强化，腹膜后未见肿大淋巴结。 CT印象：1、肝左右叶占位性病变，考虑肝Ca可能大。2、肝硬化、脾大、腹水。 3、提示门静脉癌栓形成？肝功检查异常项：总胆红素30.1，直接胆红素8.8，谷丙转氨酶59，谷草转氨酶61，胆汁酸34.2，谷氨酰氨基转移酶132 。请问这种情况手术治疗还是介入治疗好？

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周玉明医生回复发表于 2014-01-21 17:14:36

可以携带相关资料来我科咨询。

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周玉明 | 向该医生提问

厦门大学附属第一医院 - 主任医师

周立新医生回复发表于 2014-02-02 23:04:35

您好！病人多大年龄？肿块大小？这些都和治疗密切相关，基本原则是手术优先，不能手术的再选择介入等治疗，如果门静脉主干有癌栓了，那介入也麻烦，你最好带上片子和资料来我院看看，我是每周二上午出专家门诊，其他时间可以电话交流，0592-6159610

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周立新 | 向该医生提问

厦门市第二医院 - 主任医师

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肝癌、肝腹水（腹胀、胀气）

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