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15例小儿肝脏原发性恶性肿瘤诊治体会
引用本文:傅思源,周伟平,姚晓平,吴孟超. 15例小儿肝脏原发性恶性肿瘤诊治体会[J]. 肝胆外科杂志, 2003, 11(3): 173-174
作者姓名:傅思源  周伟平  姚晓平  吴孟超
作者单位:上海东方肝胆外科医院,上海,200438
摘    要:目的 探讨小儿肝脏原发性恶性肿瘤的临床特征及诊治经验。方法 对15例小儿肝脏原发性恶性肿瘤患者临床资料回顾性分析,其中10例为小儿肝细胞癌,5例为肝母细胞瘤。结果 小儿肝细胞癌与小儿肝母细胞瘤在患者年龄,肿瘤大小,HBsAg和AFP阳性率,有无合并肝硬化.病理特征等方面有差异。结论 乙肝病毒感染是小儿肝细胞癌的重要病因小儿肝细胞癌与小儿肝母细胞瘤临床影像病理特征有差异;小儿肝脏原发性恶性肿瘤的有效治疗方式是手术切除。

关 键 词:肝细胞癌 肝母细胞瘤 肝切除 小儿
文章编号:1006-4761(2003)03-0173-02
修稿时间:2003-04-28

CLINICAL EXPERIENCE IN DIAGNOSIS AND TREATMENT OF 15 CASES OF PRIMARY LIVER TUMOR IN CHILDREN
FU Si yuan,ZHOU Wen ping,YAO Xiao ping,et al.. CLINICAL EXPERIENCE IN DIAGNOSIS AND TREATMENT OF 15 CASES OF PRIMARY LIVER TUMOR IN CHILDREN[J]. Journal of Hepatobiliary Surgery, 2003, 11(3): 173-174
Authors:FU Si yuan  ZHOU Wen ping  YAO Xiao ping  et al.
Affiliation:FU Si yuan,ZHOU Wen ping,YAO Xiao ping,et al.The Eastern Hepatobiliary Surgery Hospital,The Second Military Medical University,Shanghai 200438,China)
Abstract:Objective To investigate the clinical features,diagnosis and treatment of primary liver malignant tumor in children.Methods The clinical feature treatment of primary liver malignant tumor in children were retrospectivily reviewed.10 cases were hepatocellular carcinoma(HCC) and 5 cases were hepatoblastoma.Result Hepatocellular carcinoma was different from hepatoblastoma at the age of children,the size of tumor,the HBsAg and AFP positive rate,with cirrhosis or not and pathologic features,etc.Conclusion (1)HBV infection may be the leadingcause to HCC in children.(2)HCC was different from hepablastoma at clinicalpathologic and imaging features.(3)Operation is the effective method for the treatment.
Keywords:hepatocellular carcinoma  hepatoblastoma  hepatectomy  child
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