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我们自1987年共收治原发性肝癌20例,全部病例均随访一年以上,现将初步体会总结如下。 本组20例,男性17例、女性3例。年龄31～66岁。全部病例均表现为右上腹疼痛,食欲下降、乏力、肝肿大,B型超声波检查肝内有占位性病灶(多个病灶4例、单个病灶16例),其中2例合并进行性黄疸、2例合并腹水、4例合并肝硬化体征(肝掌、蜘蛛痣、脾肿大、腹壁静脉曲张等),1例合并食管下段静脉显著怒张,9例肝区可触及结节状巨块。20例中3例经开腹探查病理切片确诊为
We have treated 20 cases of primary liver cancer since 1987. All cases have been followed up for more than one year. The preliminary experience is summarized as follows. The group of 20 patients, 17 males and 3 females. Age 31 to 66 years old. All cases presented with pain in the right upper quadrant, loss of appetite, fatigue, and hepatomegaly. Occupied lesions were found in the liver by B-mode ultrasound examination (4 lesions in multiple lesions and 16 in individual lesions), of which 2 were associated with progressive jaundice. Two patients had ascites, four patients had signs of liver cirrhosis (liver palm, spider mite, splenomegaly, abdominal varicose veins, etc.), 1 patient had significant engorgement of the inferior esophageal vein, and 9 patients had hepatic palpable nodular mass. 3 of 20 cases were diagnosed as pathological sections by laparotomy