患者男性,67岁,有15年胃病史,因胃纳差,消瘦1月余,扪及上腹肿块1周而入院。入院体检:一般情况可,双巩膜无黄染,双锁骨上淋巴结未肿大。心律不齐呈房颤律,肝上界第6肋间,右助下6cm,剑突下8cm,质地偏硬。脾脏左肋下未触及,移动性浊音(-)。AFP12.95ug/L,CEA20.83μg/L,γ-GT331 IU/L,肝功能正常。B超提示肝二叶见 The patient, male, 67 years old, had a history of stomach problems for 15 years. He was admitted to hospital because of poor appetite, wasted for more than one month, and had an epigastric mass for 1 week. Admission examination: In general, the sclera is yellow-free and the double supraclavicular lymph nodes are not enlarged. The arrhythmia was atrial fibrillation, the 6th intercostal space in the upper liver, 6cm under the right acupuncture, 8cm under the xiphoid, and the texture was hard. The spleen did not touch the left subcostal, shifting dullness (-). AFP12.95ug/L, CEA20.83μg/L, γ-GT331IU/L, normal liver function. B-ultrasound tips liver