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自1976年至1984年间,我院收治无临床症状、体征的原发性肝癌(亚临床期肝癌)28例,其发现的主要途径有:(1)对有肝病的病人定期检查血清甲胎蛋白的含量;(2)用AFP检测于高发区及高发人群中作普查;(3)X线胸透观察横膈情况及B型超声显象等检查肝脏。本组病人的手术切除率为50％,不规则肝切除手术方法较简单、容易,术后无明显并发症。42.9％的肿瘤直径≤5cm,大部分肿瘤色膜较完整,术后3年、5年生存率为62.5％、57.1％。对于无法手术切除的病人采用肝动脉结扎合并放射治疗有较好的效果。本文还讨论发现亚临床期肝癌的途径和标准。
From 1976 to 1984, 28 cases of primary liver cancer (subclinical liver cancer) without clinical symptoms and signs were treated in our hospital. The main methods for their detection were: (1) Regular examination of serum alpha-fetoprotein in patients with liver disease (2) Use AFP for detection in high-incidence and high-incidence populations; (3) X-ray chest x-ray observation and B-mode ultrasonography for examination of liver. The surgical resection rate in this group of patients was 50%. Irregular hepatectomy was relatively simple and easy, and no postoperative complications occurred. 42.9% of the tumors were ≤5cm in diameter. Most of the tumors had complete color film. The 3-year and 5-year survival rates were 62.5% and 57.1%, respectively. For patients who cannot be surgically removed, hepatic artery ligation combined with radiation therapy has a better effect. This article also discusses ways and criteria for discovering subclinical liver cancer.