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妊娠期肝癌,国内外文献报道尚少,Roddis、李志尚及天津医学院附属医院肿瘤病房等曾作个别报道。我院于1959～1980年间收治妊娠期原发性肝癌6例,均有病理组织学依据,现报道如下。病例资料例一:女,23岁。右上腹肿块一年,逐渐增大,3个月前妊娠伴双下肢水肿,食欲下降,体重减轻,足月顺产一小孩,分娩后,病情迅速恶化,于1959年2月13日拟肝癌入院治疗。过去无传染病史,19岁结婚,孕2产2,均足月顺产,月经正常。入院后查:一般情况差,恶液质,轻度腹壁静脉怒张,肝大平脐,质硬,多结节状,脾肋下2厘米,剖腹探查见肝左叶巨大肿瘤、侵犯右叶,质脆易出血,无法手术切除,术后8天肝昏迷死亡。病理报告为原发性肝细胞癌。
Gestational liver cancer, there are few reports in the literature at home and abroad, Roddis, Li Zhichang and Cancer Hospital Affiliated Hospital of Tianjin Medical College have been reported separately. Our hospital in 1959 ~ 1980 during pregnancy treated 6 cases of primary liver cancer, histopathological evidence, are reported below. Case data example one: female, 23 years old. Right upper quadrant mass a year, gradually increased, 3 months ago, pregnancy with double lower extremity edema, loss of appetite, weight loss, full-term normal delivery of a child, after delivery, the condition deteriorated rapidly, in February 13, 1959 proposed liver cancer hospitalization . In the past no history of infectious disease, 19-year-old married, 2 pregnant 2, are full term delivery, normal menstruation. Check after admission: general poor, cachexia, mild abdominal venous distention, liver flat umbilical, hard, nodular, splenic rib 2 cm, laparotomy to see the huge left liver tumor, infringing the right lobe, Crisp easy bleeding, can not be surgically removed, 8 days after the death of hepatic coma. Pathological report of primary hepatocellular carcinoma.