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本文报告16例肝母细胞瘤,并就其临床特点,治疗经验和教训,影响愈后因素讨论如下。 1 临床资料本组男12例,女4例,男:女为3:1。年龄3个月、7个月各1例,1～3岁11例(68%),7岁、10岁各1例,38岁1例。全组皆以上腹部逐渐膨隆及包块就诊,有9例包块达脐下超过中线。无特异症状。本组肝功检查:14例正常,2例GPT升高。全组均测甲胎蛋白,阳性11例。肝扫描:肝形态失常或欠规整,示踪剂稀疏缺损12例,血池扫描有充填现象5例,1例胃肠钡餐检查可见胃结肠向左下方挤压。
This article reports 16 cases of hepatoblastoma, and discuss its clinical characteristics, treatment experience and lessons learned, and the factors that affect the later discussion are as follows. 1 Clinical data The group of 12 males and 4 females, male: female 3:1. There were 1 case each at age 3 months and 7 months, 11 cases (68%) between 1 and 3 years old, 1 case at 7 years old and 10 years old, and 1 case at 38 years old. The whole group was gradually bulging and massaging in the upper abdomen. There were 9 cases of mass over the midline. No specific symptoms. The liver function examination in this group: 14 cases were normal and 2 cases had elevated GPT. AFP was measured in all groups and was positive in 11 cases. Liver scan: Liver morphological disorders or irregularities, tracer sparse defect in 12 cases, blood pool scan in 5 cases, 1 case of gastrointestinal barium meal examination showed gastric colon squeezed to the lower left.