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现已知道能进行手术的较早期肝癌也可有淋巴结转移,而且,癌进展同时淋巴结转移的频度增加。肚脏的淋巴流是非常复杂的,如在其基础上合并肝硬变,设想和肝血流动态变化一样,淋巴流也有很大变化。所以,淋巴结转移有在硬变肝和非硬变肝而转移方式不同的可能。作者以肝细胞癌解剖病例为研究对象,对硬变肝和非硬变肝的淋巴结转移特征进行比较研究。对象和方法:1968～1984年大阪市成人疾病中心解剖1582例,其中经组织学诊断为肝细胞癌的103例,摘除其全部肿胀淋巴结,用苏木素-伊红染色进行组织学诊断,确定有无淋巴结转移。
It is known that the earlier stage of liver cancer that can be operated can also have lymph node metastasis, and the frequency of lymph node metastasis increases as the progression of the cancer increases. The lymph flow of the diarrhea is very complicated. If the complications are combined with cirrhosis on the basis of it, it is assumed that the lymph flow also changes greatly like the dynamic changes of the blood flow in the liver. Therefore, the lymph node metastasis may be different in hard metamorphic liver and non-hardened liver metastasis. The authors used anatomical cases of hepatocellular carcinoma as subjects to compare the characteristics of lymph node metastasis of hard and non-hardened livers. Subjects and methods: 1582 cases were dissected from the Adult Disease Center of Osaka City from 1968 to 1984. Among them, 103 were histologically diagnosed as hepatocellular carcinoma. All lymph nodes were removed and histological diagnosis was performed using hematoxylin-eosin staining to determine whether or not there were Lymph node metastasis.