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原发性肝细胞癌(HCC)患者肿瘤切除后,常发生肿瘤复发和转移。作者等对117例经病理证实,肿瘤直径75cm 的巨大 HCC 者,肝叶切除术后进行回顾性分析。男104例,女13例。平均年龄53.8±12.4岁。结合各种临床病理特征,以了解 HCC 切除后肿瘤复发的危险因素,结果如下。临床和血清学特征:术前伴或不伴有低血压的15例 HCC 肿瘤破裂致血性腹水。7例患者肿瘤术中破裂。30例肿瘤浸润或与邻近组织粘连,横膈是最常受累部位。117例中100例(85.5％)有同侧门静脉分支累及。74％患者血
After tumor resection in patients with primary hepatocellular carcinoma (HCC), tumor recurrence and metastasis often occur. The authors performed a retrospective analysis of 117 patients with giant HCC with pathologically confirmed tumor diameter of 75 cm after hepatectomy. There were 104 males and 13 females. The average age is 53.8±12.4 years old. Combining various clinical and pathological features to understand the risk factors for tumor recurrence after HCC resection, the results are as follows. Clinical and serological features: Fifteen cases of HCC tumor rupture before surgery, with or without hypotension, caused bloody ascites. Seven patients had intraoperative rupture of the tumor. Thirty tumors infiltrated or adhered to adjacent tissue, and diaphragm was the most frequently affected area. Of the 117 cases, 100 cases (85.5%) had ipsilateral portal vein branch involvement. 74% of patients’ blood