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以900例男性肝癌作对照,探讨了同期104例女性肝癌的临床病理学特点。结果提示:(1)女性肝癌患者的发病年龄较男性提前;(2)不合并肝硬变的肝癌患者的发病年龄较合并肝硬变者提前;(3)女性肝癌的发生多不经过肝硬变阶段,而男性肝癌多在肝硬变的基础上发生;(4)女性肝癌患者的血清AFP含量多高于男性;(5)女性肝癌患者的术后5年生存率高于男性肝癌患者。本文还讨论了与国外肝癌发病情况的差异。
In this study, 900 cases of male liver cancer were used as controls to investigate the clinicopathological features of 104 cases of female liver cancer during the same period. The results suggest that: (1) The age of onset of female patients with hepatocellular carcinoma is earlier than that of men; (2) The age of onset of hepatocellular carcinoma without cirrhosis is earlier than that of patients with cirrhosis; (3) The incidence of hepatocellular carcinoma in females does not pass through liver cirrhosis In the metaphase, male liver cancer mostly occurs on the basis of liver cirrhosis. (4) The serum AFP level in female liver cancer patients is much higher than that in males; (5) The 5-year survival rate of female liver cancer patients is higher than that in male liver cancer patients. This article also discusses the differences in the incidence of liver cancer with foreign countries.