患者男性,35岁。发现脐右侧肿块二年。肿块开始约鸡蛋大小,无特殊不适。入院前2个月发现肿块明显增大,伴腹部隐痛,井出现进行性消瘦。无恶寒、发热,无黄疸、腹水。3年前曾患乙型肝炎。查体:贫血貌,巩膜、皮肤无黄染,锁骨上未扪及肿大淋巴结,肝浊音界位于右锁骨中线第四肋间。右上中腹部触及20×18×16cm大小肿块,质硬、固定、表面呈结节感,有明显的触痛,脾未扪及。腹部叩诊无移动性浊音。A型 Male patient, 35 years old. The right umbilicus mass was found for two years. The lumps started to be about the size of the egg and there was no special discomfort. In the 2 months before admission, it was found that the mass was significantly enlarged, with abdominal pain, and the well appeared progressive wasting. No chills, fever, no jaundice, ascites. He suffered from Hepatitis B three years ago. Physical examination: anemia appearance, sclera, skin without yellow dye, unsuppressed clavicle and enlarged lymph nodes, hepatic dullness in the fourth intercostal space of the right midclavicular line. The upper right mid-abdominal region touched a mass of 20 x 18 x 16 cm. The mass was stiff, fixed and nodular on the surface. There was obvious tenderness and no spleen. Abdominal percussion without moving dullness. Type A