| 以单个肝占位为首发表现的转移性肝癌的误诊分析 |
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| 引用本文： | 晏建军,黄亮,周飞国,吴孟超,严以群.以单个肝占位为首发表现的转移性肝癌的误诊分析[J].中德临床肿瘤学杂志,2003,2(2):87-89. |
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| 作者姓名： | 晏建军 黄亮 周飞国 吴孟超 严以群 |
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| 作者单位： | 上海第二军医大学东方肝胆外科医院肝外一科 200438
(晏建军,黄亮,周飞国,吴孟超),上海第二军医大学东方肝胆外科医院肝外一科 200438(严以群) |
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| 摘 要： | 目的 探讨以单个肝占位为首发表现的转移性肝癌的误诊原因和治疗。方法 回顾性总结分析1年半来治疗10例患者的临床资料。结果10例患者入院后确诊为转移性肝癌,肝脏转移灶均为单发,肿瘤直径在4.5-12.4cm,平均(7.8±2.5)cm。2例来自胃癌,7例来自结直肠癌,1例来自恶性淋巴瘤,门诊有6例误诊为原发性肝癌,误诊率高达60％。9例患者均同期行肝转移癌切除及胃肠道肿瘤切除术,手术顺利,无1例出现手术并发症。结论 以单个肝占位为首发表现的转移肝癌发病率低,容易误诊,医师对本病认识不足以及临床思维的局限是导致误诊的主要原因。同期切除肝转移灶和原发灶肿瘤可取得良好疗效。
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| 关 键 词： | 转移性肝癌 诊断 误诊分析 手术 |
Misdiagnosis of patients with solitary liver metastasis as the first finding for hospitalization |
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| Yan?Jianjun,Huang?Liang,Zhou?Feiguo,Wu?Mengchao,Yan?YiqunEmail author.Misdiagnosis of patients with solitary liver metastasis as the first finding for hospitalization[J].The Chinese-German Journal of Clinical Oncology,2003,2(2):87-89. |
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| Authors: | Yan?Jianjun Huang?Liang Zhou?Feiguo Wu?Mengchao Email author" target="_blank">Yan?YiqunEmail author |
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| Institution: | YAN Jianjun,HUANG Liang,ZHOU Feiguo,WU Mengchao,YAN Yiqun The First Department of Hepatic Surgery of Eastern Hepatobiliary Surgery Hospital,Second Military Medical University,Shanghai 200438,China |
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| Abstract: | Objective To summarize the experience of diagnosis for solitary liver metastasis as the patient's first finding for hospitalization
and the cause of misdiagnosis for this kind of diseases. |
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| Keywords: | liver metastasis diagnosis analysis of misdiagnosis operation |
| 本文献已被 CNKI 万方数据 SpringerLink 等数据库收录！ |
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