小儿原发性肝细胞型肝癌(简称肝癌)较为少见,组织学上分肝母细胞瘤和肝细胞癌两类,近年收治各1例,报告如下:例1.男,2.5岁。因肝大、消瘦伴不规则发热3个月入院。体检:肝右肋下4cm,肝区叩击疼,并触及一儿童拳头大的包块。肝功能正常。X线检查:右横膈上升,运动减弱。手术探查:肝比同龄儿正常肝约大3倍,右叶有一肿物,直径4.5cm,界限清,腹腔其它脏器未见异常。肿瘤质脆易碎,完整切除困难,术中取部份瘤组织活检。病理诊断:肝母细胞瘤,胚胎型。术后3个月死于肿瘤转移。 Children with primary hepatocellular carcinoma (referred to as liver cancer) is relatively rare, histologically divided into two types of hepatoblastoma and hepatocellular carcinoma, one case in recent years, the treatment is reported as follows: Example 1. Male, 2.5 years old. He was admitted to hospital for 3 months due to hepatomegaly and weight loss with irregular fever. Physical examination: 4 cm under the right rib of the liver, slamming pain in the liver area, and touching a child with a large fist mass. Liver function is normal. X-ray examination: The right traverse increased and the movement weakened. Surgical exploration: The liver is about 3 times larger than the normal liver of the same age children, and there is a mass on the right lobe, with a diameter of 4.5cm, a clear boundary, and no abnormalities in other organs in the abdominal cavity. Tumors are brittle and brittle, and complete resection is difficult. Some tumor biopsies were taken during surgery. Pathological diagnosis: hepatoblastoma, embryo type. He died of tumor metastasis 3 months after surgery.