外生型肝癌的诊治

目的探讨外生型肝癌的诊断和治疗。方法回顾分析23例外生型肝癌的临床资料。结果肿瘤位于肝左叶7例，右叶16例，均有完整包膜，肿瘤最大直径4～35cm，平均16．2cm。外生型肝癌的诊断主要依靠临床表现、AFP、CT、MAI、肝功脉造影及病理进行综合诊断。外生型肝癌易误诊。常侵犯周围组织和器官并形成新的血液供应网。1、3、5年生存率分别为87％、78．2％、56．5％。结论外生型肝癌治疗方法首选手术切除，其手术切除率高、预后较好。

Diagnosis and treatment of extrahepatic growing hepatocellular carcinoma

Objective To investigate the diagnosis and treatment of extrahepatic growing hepatocellular carcinoma （HCC）. Methods The clinical date of 23 patients with extra hepatic growing HCC were analysed retrospectively . Results The numbers of tumours located in the left, fight lobe of liver were 7 and 16 cases, respectirely ,All the tumours in the 23 patients had complete capsule formation. The maximal diameter of the tumour was 4 -35 cm, and its average diameter was 16. 2 cm. Diagnosis of extra hepatic growing hepatoeellular careinome mostly rely on comprehensive diagnosis based on clinical manifestations, AFP, CT, MRI. hepatic arteriography and pathological diagnosis. This turnour was easy to be misdiagnosed, It usually invades peripheral tissues and organs and forms new blood-supplying network. Its resection rate was high. The lyear,3 year,and 5- year survival rates were 87% ,78.2% , and 56. 5% respectively. Conclusions The resection of hepatic segments containing the Tumour should be considered as a first selected treatment for extrahepatic growing HCC. Its resection rate is high and the prognosis is good.