10. 膽汁導管堵塞 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. 注意到具有易變的尺寸的許多群眾損害。 一些更大的證明中心的壞死。 群眾是肝的 metastases 。 妨礙從這樣群眾那裡一般舉起鹼 phosphatase ，全部膽汁導管堵塞， hyperbilirubinemia 通常不提出。 此外， transaminases 通常被不大大提升。 膽汁導管堵塞
18. 衛星小結 衛星小結 Here is an hepatocellular carcinoma. Such liver cancers arise in the setting of cirrhosis. Worldwide, viral hepatitis is the most common cause, but in the U.S., chronic alcoholism is the most common cause. The neoplasm is large and bulky and has a greenish cast because it contains bile. To the right of the main mass are smaller satellite nodules. 這是一種 hepatocellular 癌。 這樣的肝癌在肝硬變的底座裡出現。 全世界，病毒的肝炎是最普通的原因，但是在美國，慢性酒精中毒是最普通的原因。 新生物是大和龐大的，有帶綠色的投，因為它包含膽汁。 在主要群眾的右邊是更小的衛星小結。
19. 衛星小結 衛星小結 The satellite nodules of this hepatocellular carcinoma represent either intrahepatic spread of the tumor or multicentric origin of the tumor. 衛星這 hepatocellular 癌的小結描述 intrahepatic 瘤或者 multicentric 瘤的起源傳播。
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