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我科自1978年至1990年,以肝切除治疗原发性肝癌共54例,现报告如下: 临床资料全组男47例,女7例,年龄36～68岁,平均49岁。临床表现:肝区痛50例,上腹部包块20例,大多伴有全身乏力、纳差、消瘦或伴有肝硬变。原有肝炎或(和)肝硬变病史者44例,肝功能正常8例,轻度异常46例,甲胎蛋白阳性47例,占87%,B超及CT检查全部为占位性病变。病理分型及诊断:巨块型48例(最大两侧达22×16×10cm及20×10×10cm),小肝癌6例(最小2例为3cm),肝细胞癌50例,胆管
In our department from 1978 to 1990, a total of 54 cases of primary hepatic carcinoma treated with hepatectomy were reported as follows: The clinical data of the entire group consisted of 47 males and 7 females, aged 36-68 years, with an average of 49 years. Clinical manifestations: 50 cases of liver pain, 20 cases of upper abdominal mass, mostly with generalized fatigue, anorexia, weight loss or accompanied by cirrhosis. There were 44 cases with original history of hepatitis or (and) cirrhosis, 8 cases with normal liver function, 46 cases with mild abnormalities, 47 cases with alpha-fetoprotein positive, accounting for 87%. B-ultrasonography and CT examination were all space-occupying lesions. Pathological classification and diagnosis: 48 cases of giant block (the largest on both sides of 22 × 16 × 10cm and 20 × 10 × 10cm), 6 cases of small hepatocellular carcinoma (the smallest 2 cases of 3cm), 50 cases of hepatocellular carcinoma, bile duct