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当前学科:肝疾病
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男性,52岁。肝区持续性钝痛2个月,疼痛可牵涉至右肩部,伴乏力,消瘦明显,食欲减退,有恶心、低热症状,来门诊就诊。查体发现右肋下可扪及肿大之肝脏,质地坚硬。根据病史及初步体检结果,首先考虑的是()。
A . A.病毒性肝炎
B . 肝炎后肝硬化
C . 原发性肝癌
D . 肝包虫病
E . 慢性胆囊炎,胆石症
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