| 原发性肝脏双肿瘤:附五例 |
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| 引用本文： | 周彦明,杨甲梅,李滨,徐峰,李殿启.原发性肝脏双肿瘤:附五例[J].中华肝胆外科杂志,2006,15(1):451-452. |
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| 作者姓名： | 周彦明 杨甲梅 李滨 徐峰 李殿启 |
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| 作者单位： | 福建医科大学附属厦门第一医院肝胆胰血管外科,361003;第二军医大学东方肝胆外科医院,上海,200438; |
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| 摘 要： | 目的 探讨原发性肝脏双肿瘤的临床特点.方法 回顾性分析同时性手术切除的5例肝脏双肿瘤病人的临床资料.结果 5例病人均为男性、HBsAg阳性和双肿瘤结节均位于肝右叶.4例甲胎蛋白(alpha-fetoprotein,AFP)>20 ng/ml.术前诊断4例为肝细胞癌,1例为肝内胆管癌.术后2年4例出现复发或转移.结论 原发性肝脏双肿瘤更多地表现为肝细胞癌的特点.肝切除是有效的治疗手段.
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| 关 键 词： | 癌 肝细胞 双肿瘤 肝脏 肝切除 |
Double primary hepatic cancers: a report of 5 cases |
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| Abstract: | Objective To explore clinical features of patients with double primary hepatic canc-ers.Methods The clinical data of 5 patients with double primary liver cancer resected synchronously were retrospectively analyzed.Results All the 5 patients were male and HBsAg-positive.All of double cancer nodules were located in the right lobe.Four patients had a serum AFP level >20 ng/ml.Four patients were diagnosed to have hepatocellular carcinoma and the other intrahepatic cholangiocarcinoma preoperatively.After resection, 4 patients had recurrence or metastases during the follow-up for 2 years.Conclusion Patients with double primary hepatic cancers have features close to hepatocellular carcinoma.Hepatic resection is an effective treatment for the disease. |
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| Keywords: | Carcinoma hepatocellularDouble cancersLiverHepatic resection |
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