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男，45岁，发现原因不明的腹部包块一个月就诊，腹部触诊：肝下届在右肋源下5厘米，剑突下7厘米，硬，表面高低不平，应先考虑
结节性肝癌。还有没有其他临床表现？
首先考虑原发性肝癌，原因，肝大，表面不平，质硬