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目的分析1例巨块型肝癌切除术后4次复发的诊治资料,探讨其术后复发的原因及诊治经验。方法对我院收治的1例典型肝癌病例的资料进行回顾性分析,包括历次手术前AFP水平、影像学资料、手术情况和术后生存期等。结果患者首次巨块型肝癌破裂大出血被成功切除,分别于术后24、41、49、57月复发,均再次手术治疗,目前已随访92个月无复发。结论肝癌复发的原因可能包括肿瘤切除不彻底、种植和多中心起源等;肝复发癌再次手术后仍可以获得长期生存。
Objective To analyze the diagnosis and treatment data of 4 cases of recurrent giant liver cancer after resection and to explore the reason of the recurrence and the experience of diagnosis and treatment. Methods The data of one case of typical liver cancer admitted to our hospital were retrospectively analyzed, including the level of AFP before operation, imaging data, operation conditions and postoperative survival. Results The first massive hemorrhagic rupture of giant hepatocellular carcinoma was successfully resected and recurred after 24, 41, 49 and 57 days respectively. All patients were re-operated. No recurrence was observed after 92 months of follow-up. Conclusion Recurrence of liver cancer may include incomplete tumor resection, implantation and multicentric origin. Long-term survival of patients with recurrent liver cancer can be obtained after reoperation.