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本文对39名40岁以下的青壮年及256例40岁以上的中老年原发性肝癌（PHC）患者的临床特点进行了回顾性研究。结果：20．6％的青壮年患者具有肝癌家族史，62％有明确肝炎史，HBsAg携带率82％，半数以上就诊时无自觉症状，小肝癌100％合并肝硬化，治疗以手术为佳，但复发率较高；在普查及随访中发现的患者预后较好。提示：对肝癌易患人群包括具有肝癌家族史、肝炎患者、早期肝硬化、HBV携带者、AFP持续升高者应定期进行随访检查。
This article retrospectively studied the clinical features of 39 young adults under 40 years of age and 256 patients over 40 years of age with primary liver cancer (PHC). Results: 20.6% of young and middle-aged patients had a family history of liver cancer, 62% had a history of hepatitis, HBsAg carrier rate was 82%, more than half had no symptoms, and 100% had small hepatocellular carcinoma with cirrhosis. Surgery was the best choice. However, the recurrence rate was higher; the prognosis of the patients found during the census and follow-up was better. Tip: The liver cancer susceptible population including family history of liver cancer, hepatitis patients, early liver cirrhosis, HBV carriers, AFP continued to rise should be regularly followed up.