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本文报告91例原发性肝癌,其中男性74例(81.3％),女性17例(18.7％)。平均发病年龄44.3岁。组织学观察:其中肝细胞性肝癌77例(84.6％),胆管癌9例(9.9％),混合细胞性肝癌2例(2.2％)和肝母细胞瘤3例(3.3％)。在91例肝癌中37例(40.6％)合并肝硬变,11例(12％)合并肝血吸虫病;4例(4.4％)合并慢性病毒性肝炎。作者发现胆管细胞性肝癌所伴有的临床症状如发热、腹水、AFP(+)、恶病质等明显地轻于肝细胞性肝癌(P<0.05)。
This article reports 91 cases of primary liver cancer, including 74 males (81.3%) and 17 females (18.7%). The average age of onset is 44.3 years. Histological observations: Among them, 77 cases (84.6%) of hepatocellular carcinoma, 9 cases (9.9%) of cholangiocarcinoma, 2 cases of mixed hepatocellular carcinoma (2.2%) and 3 cases of hepatoblastoma (3.3%). In 91 cases of liver cancer, 37 cases (40.6%) had liver cirrhosis, 11 cases (12%) had schistosomiasis, and 4 cases (4.4%) had chronic viral hepatitis. The authors found that the clinical symptoms associated with cholangiocarcinoma such as fever, ascites, AFP (+), cachexia, etc. were significantly lighter than hepatocellular carcinoma (P<0.05).