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转移性肝癌:多个大小不等的结节


大小不等的多个肿块,一些大的肿块中心坏死。很明显这是肝脏转移瘤。肿瘤的阻塞使使碱性磷酸酶水平升高,但它们并未阻塞所有的胆道,因此高胆红素血症不明显。同样,一般没有转氨酶的明显升高。
Note the numerous mass lesions that are of variable size. Some of the larger ones demonstrate central necrosis. The masses are metastases to the liver. The obstruction from such masses generally elevates alkaline phosphatase, but not all bile ducts are obstructed, so hyperbilirubinemia is typically not present. Also, the transaminases are usually not greatly elevated.

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