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目的了解我国肝脏肿瘤的发生特点及其临床病理特征。方法用常规病理方法分析了手术切除的３１６０例肝脏肿瘤的构成及临床病理特点，共涉及三个胚层来源的２５类肿瘤。结果肝脏瘤样病变４种，１１２例，占３．５％，肝脏良性肿瘤１０种，４９９例，占１５．８％，肝脏恶性肿瘤１１种，２５４９例，占８０．７％。三组中最为常见的分别是炎性假瘤（占该组的７３．２％），肝海绵状血管瘤（占该组的７４．３％）和肝细胞癌（占该组的９６．８％）。三组患者在年龄与性别比上有所不同。肝细胞癌的血清ＨＢｓＡｇ阳性率和肝硬化伴发率分别为７４．４％和７２．０％，＜３ｃｍ小肝癌的肝硬化合并率高达８３．２％。结论结果表明，ＨＢＶ感染和肝硬化与肝细胞癌的发生有密切关系。
Objective To understand the occurrence characteristics and clinicopathological features of liver tumors in China. METHODS: The pathological features of 3160 liver tumors underwent surgical resection were analyzed by routine pathology. A total of 25 tumors originating from the three germ layers were involved. Results There were 4 cases of hepatic tumor-like lesions, 112 cases, accounting for 3.5%, 10 benign tumors in the liver, 499 cases accounting for 15.8%, 11 cases of hepatic malignancy and 2549 cases, accounting for 80.7%. The most common of the three groups were inflammatory pseudotumor (73.2% of the group), hepatic cavernous hemangiomas (74.3% of the group), and hepatocellular carcinoma (96.8% of the group). %). The three groups of patients differed in age and sex ratio. The positive rates of serum HBsAg and hepatic cirrhosis in hepatocellular carcinoma were 74.4% and 72.0%, respectively. The combined rate of hepatic cirrhosis in small hepatocellular carcinoma was 83.2%. Conclusions The results show that HBV infection and cirrhosis are closely related to the occurrence of hepatocellular carcinoma.