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原发性肝癌91例临床病理分析
引用本文:李永宏,孙永革.原发性肝癌91例临床病理分析[J].皖南医学院学报,1988(3).
作者姓名:李永宏  孙永革
作者单位:皖南医学院病理解剖学教研室,皖南医学院病理解剖学教研室
摘    要:本文报告91例原发性肝癌,其中男性74例(81.3%),女性17例(18.7%)。平均发病年龄44.3岁。组织学观察:其中肝细胞性肝癌77例(84.6%),胆管癌9例(9.9%),混合细胞性肝癌2例(2.2%)和肝母细胞瘤3例(3.3%)。在91例肝癌中37例(40.6%)合并肝硬变,11例(12%)合并肝血吸虫病;4例(4.4%)合并慢性病毒性肝炎。作者发现胆管细胞性肝癌所伴有的临床症状如发热、腹水、AFP(+)、恶病质等明显地轻于肝细胞性肝癌(P<0.05)。

关 键 词:肝癌/~*病理学  胆管细胞癌/~*病理学  血吸虫病/~*并发症  肝硬变/~*病因学。

A CLINICAL AND PATHOLOGICAL ANALYSIS OF 91 CASES OF PRIMARY HEPATOCARCINOMA
Li Yonghong,Sun Yongge Dept. of Pathology,Wannan Medical College,Wuhu.A CLINICAL AND PATHOLOGICAL ANALYSIS OF 91 CASES OF PRIMARY HEPATOCARCINOMA[J].Acta Academiae Medicinae Wannan,1988(3).
Authors:Li Yonghong  Sun Yongge Dept of Pathology  Wannan Medical College  Wuhu
Abstract:In the 91 cases of primary carcinoma of the liver reported in this paper. 74(81.3%) were male and 17(18.7%) were female. The average incidence age was 44.3 years. Among all the cases studies, 77(84.6%) were of hepatoce- llular carcinoma, 9(9.9%) of cholangiocarcinoma, 2(2.2%)of mixed cell car- cinoma, and 3(3.3%;) of hepatoblastoma. of the 91 cases, 37(40.6%) were complicated with liver cirrhosis, 11(12%) with liver schistosomiasis and 4(4.4%) with chronic virus hepatitis. We found that in the cases of cholan- giocarcinoma, such clinical signs and symptoms as fever, ascites, AFP(+), cachexia, etc., were remarkably less serious than in the cases of hepatoce- llular carcinoma (p<0.05).
Keywords:liver  neoplasms/~*PA  bile duct neoplasms/~*PA  cirrhosis/~*ET  schistosomiasis/~*CO
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