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作者在94例肝细胞癌尸俭病例中,选择了8例小肝癌(最大直径小于3.5cm),其临床病理所见如下:8例均为男性,年龄40—78岁,癌结节均在右叶,位于被膜下或接近被膜处,结节境界清楚,呈园形或卵园形,其中2例有明显包膜。除2例有2个癌结节外,其余均为单发。切面呈实性、质软、灰白色,常不同程度地着有胆色,半数病例有明显的出血坏死。组织学检查除1例未见明显假小叶外,其余7例均伴有肝硬化。8例中有5例在癌结节周围有数量不等的非瘤性结节,直径为0.5～1.2cm。作者拟通过这些非瘤性结节的组织学检查,探讨
In 94 cases of hepatocellular carcinoma cases, the authors selected 8 cases of small hepatocellular carcinoma (with a maximum diameter of less than 3.5cm). Their clinical pathological findings were as follows: 8 cases were all male, aged 40-78 years, and nodules were found in all cases. The right lobe, located below the capsule or near the capsule, had clear nodular realms, a round or oval shape, and 2 of them had a clear envelope. Except for 2 cases with 2 cancer nodules, the rest were solitary. The cut surface was solid, soft, gray, often bile-colored to varying degrees, and half of the cases had significant hemorrhage and necrosis. Histological examination showed no stenosis except 1 case. All the other 7 cases were associated with cirrhosis. Five out of eight patients had non-neoplastic non-tumor nodules around the nodules with a diameter of 0.5-1.2 cm. The authors intend to explore the histological examination of these non-neoplastic nodules.