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原发性肝癌肝外转移的尸检发现率为50～78％,以肺最为多见(23～70％),其次为局部淋巴结、膈肌及骨也是转移的主要部位,肺或骨转移是提示肝癌可能性的头一个临床体征。作者对台湾一所医院1974年～1982年间经临床及组织学确诊的原发性肝癌470例进行分析,其中肝细胞癌(HCC)439例(男390例,女49例),其中134例经组织病理学证实。毛细胆管癌(CCC)31例(男17例,女14例),全部经组织病理学证实。在HCC患者中,62例有肝外转移,其中转移至肺的50例(11％),骨10例(2％),锁骨淋巴结及腹壁各1例;CCC患者中仅1例转移至肺(3％)。原发性肝癌肺转移的
The detection rate of extrahepatic metastases from primary liver cancer is 50 to 78%, most common in the lungs (23 to 70%), followed by local lymph nodes, diaphragms, and bones, which are also the major sites of metastasis. Lung or bone metastases suggest liver cancer The first clinical signs of the possibility. The author analyzed 470 cases of primary liver cancer confirmed by clinical and histological diagnosis at a hospital in Taiwan from 1974 to 1982, including 439 cases of hepatocellular carcinoma (HCC) (390 males and 49 females), 134 of which Histopathology confirmed. There were 31 cases of capillary cholangiocarcinoma (CCC) (17 males and 14 females), all confirmed by histopathology. Of the HCC patients, 62 had extrahepatic metastases, of which 50 (11%) had metastasized to the lungs, 10 (2%) had bone, and 1 had lymph node and abdominal wall of the clavicle. Only 1 patient of CCC had metastasized to the lung ( 3%). Primary liver cancer with lung metastasis