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目前认为部分癌症可能与遗传有关。笔者遇见一例肝癌患者,有明显的家族聚集现象,现报道如下。 患者男(Ⅲ9),57岁,因中上腹下适半年多入院。体检:肝肋下5 cm,剑突下8 cm,质硬,表面有结节感,腹部移动性浊音(+)。A超、B超均发现肝内占位性病变:AFP(+),HBsAg(+),肝功正常;大便隐血+++～++++,腹水为浆液血性;肝穿活检证实为肝细胞型肝癌。家族史见家系图谱。Ⅱ9(Ⅲ9之玄姑),58岁死于肝癌;Ⅲ5(Ⅲ9的表弟)、50岁死于肝癌;Ⅲ6、Ⅲ7(Ⅲ9的大哥,二哥分别于56岁,
It is currently believed that some cancers may be genetically related. I encountered a case of liver cancer patients, there is a clear phenomenon of family aggregation, is reported as follows. The patient male (III9), 57 years old, was admitted to the hospital more than half a year in the upper abdomen. Physical examination: liver 5 cm below the rib, 8 cm below the xiphoid, hard, nodules on the surface, abdomen shifting dullness (+). A, B ultrasound were found in intrahepatic space-occupying lesions: AFP (+), HBsAg (+), normal liver function; stool occult blood +++ ~ ++++, ascites bloody serous; liver biopsy confirmed liver Cell type liver cancer. Family history, see the family map. II9 (Xuangu of III9) died of liver cancer at the age of 58; III5 (the cousin of III9) died of liver cancer at the age of 50; III6 and III7 (the eldest brother of III9 and the second brother were 56 years old, respectively).