原发性肝癌骨转移19例临床分析

目的提高原发性肝癌骨转移的诊治水平。方法回顾性分析19例肝癌骨转移的诊治方法及疗效。结果肝癌发生骨转移后的中位生存期仅为4,5个月,放疗对骨转移瘤引起的疼痛有较好的缓解作用。结论肝癌骨转移的预后较差,尚无特效治疗,强调支持对症的重要。早期诊断骨转移灶,严格掌握手术适应症,有缓解症状、提高生活质量的积极意义。

Diagnosis and treatment of Skeleton metastases from primary hepatic carcinoma . With a report of 19 cases

Objective To improve the diagnosis and treatment of the skeleton metastases from primary hepatic carcinoma. Methods To make a retrospective study of 19 cases' diagnosis and treatment. Results The mediate survival time was 4 to 5 months of the cases with skeleton metastases from primary hepatic carcinoma. The pain that was caused by skeleton metastases could be remission by radiotherapy. Conclusion The prognosis of skeleton metastases from primary hepatic carcinoma is poor. There is not effective way to solve it. It is more important to take emphasis on expectant treatment. It is important for reducing the symptom and improving the quality to find the early stage of the skeleton metastases, to control the indication of the operation strictly.