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분야
pptx2.P.I)
3.ROS)
4.P/Ex)
5.Problem list ??
6.Initial Lab)
7.Abdomen CT
8.Hospital course
9.Liver Biopsy
10.Anemia w/u
11.Lab f/u
12.PET-CT
AFP : negative hCG : negative
CD56 : positive Chromogranin : positive
Vimentin : positive, focal WT-1 : negative
Cytokeratin : positive (in bile ductules)
CAM 5.2 : positive (in bile ductules)
Cytokeratin 19 : positive (in bile ductules)
NSE : negative p53 : positive (40%)
Liver, needle biopsy :
Small round cell malignancy, possible neuroblastoma, metastatic
PB morphology
RBC : Microcytic slightly, Normochromic
Anisocytosis (±)
Polytchromasia (±)
Poikilocytosis (++) : Burr cells, Target cells
Stipping (-)
Inclusion (-)
WBC : Number : normal
Toxic granule (±)
Segmentation : normal
Platelet : Number/Size : normal
AFP : 64.1
NSE : 207.0
Rota : negative
EA IgM/IgG : negative / negative
EBNA : negative
EBV IgM/IgG : negative / negative
CMV IgM/IgG : negative / positive
HCV Ab : negative
HAV Ab : negative
HBs Ag/Ab : negative / 12.6
