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原发性肝癌的临床表现,尤其是早期表现千变万化。我们最近观察到以腹泻为主要首发症状的肝癌8例,皆在出现其他伴发症状前被忽略肝癌诊断,现总结如下: 1 临床资料 1.1 一般资料 所观察8例皆为男性,年龄35～72岁。根据临床表现,B超或CT、AFP检测及术后病理,确诊为中晚期肝癌,无其它脏器转移,其中弥漫型、巨块型各2例,结节型4例;伴发肝硬化者4例,不伴肝硬化者4例。 1.2 腹泻情况 入院前出现腹泻时间10天～1年余,病史中无明显腹泻诱因。稀便4例,稀水便2例,粘液便2例,皆无脓血便。3例为间断性腹泻,余为持续性,腹泻次数皆在3次/日以上。 1.3 肝功能状况 6例有GGT不同程度的升高,波动在73～230单位,无SGPT升高。两例有黄袒,肝细胞性黄疸为主。
The clinical manifestations of primary liver cancer, especially the early manifestations of ever-changing. We recently observed in 8 cases of primary liver cancer with diarrhea as the main symptom, were diagnosed before the other associated symptoms were ignored liver cancer, are summarized as follows: 1 Clinical data 1.1 General Information observed in 8 cases were all men, aged 35 to 72 year old. According to clinical manifestations, B-ultrasound or CT, AFP detection and postoperative pathology, diagnosed as advanced liver cancer, no other organ metastasis, including diffuse, massive block in 2 cases, 4 cases of nodular; associated with cirrhosis 4 cases, 4 cases without cirrhosis. 1.2 diarrhea diarrhea before admission time 10 days to more than 1 year, no significant history of diarrhea incentives. 4 cases of loose stools, dilute water in 2 cases, 2 cases of mucus, no pus and blood. 3 cases of intermittent diarrhea, I was persistent, the number of diarrhea in 3 times / day or more. 1.3 liver function in 6 cases of GGT increased to varying degrees, fluctuations in the 73 ~ 230 units, no SGPT increased. Two cases of yellow, hepatocellular jaundice.