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患者,男,69岁。右季肋压痛20d,于1989年7月2日就诊。肝右肋下7cm,质韧光滑,B超见右叶数个团块及结节,分别为8.4cm×11cm;3cm×4cm及1cm×2cm。肝穿刺细胞学检查找到分化差的肝癌细胞。使用~(60)Co移动条野照射,2.5Gy/4,每周5次,肿瘤量32Gy时B超提示小病灶消失,又针对主肿瘤设立背腹野各10cm×10cm对穿照射,照射总量达47Gy。放疗结束12d,B超示肝右叶有不均质回
Patient, male, 69 years old. The right rib tenderness 20d, on July 2, 1989. The right lower rib of the liver is 7cm thick and smooth, and the B-ultrasound shows several clumps and nodules in the right lobe, which are 8.4cm×11cm; 3cm×4cm and 1cm×2cm, respectively. Liver aspiration cytology finds poorly differentiated liver cancer cells. Using the ~(60)Co moving bar field irradiation, 2.5 Gy/4, 5 times per week, when the tumor volume was 32 Gy, B-mode ultrasound showed small lesions disappeared, and 10 cm × 10 cm of dorsoventral field was established for the main tumor. Amount of 47Gy. 12 days after radiotherapy, B ultrasound shows that the right lobe of the liver has an uneven return