摘要
目的 探讨单发转移性肝癌的诊断和治疗。方法 回顾性总结分析 1年半来治疗 1 0例患者的临床资料。结果1 0例患者入院后确诊为转移性肝癌 ,肝脏转移灶均为单发 ,肿瘤直径在 4 .5～ 1 2 .4 cm ,平均 7.8± 2 .5 cm。 2例来自胃癌 ,7例来自结直肠癌 ,1例来自恶性淋巴瘤 ,门诊误诊率高达 6 0 %。 9例患者均同期行肝转移癌切除及胃肠道肿瘤切除术 ,手术顺利 ,无 1例出现手术并发症。结论 单发肝转移癌发病率低 ,容易误诊 ,医师对本病认识不足以及临床思维的局限是导致误诊的主要原因。
Objective To investigate the diagnosis and treatment of single secondary liver cancer.Methods From Jul, 2000 to Mar, 2002, ten cases with single secondary liver cancer in our department were analyzed retrospectively.Results Secondary liver cancer was confirmedly diagnosed in the ten patients after admission, all patients had one single metastatic tumor in liver, the diameters of the metastatic tumor ranged from 4.5 to 12.4 cm with a mean diameter of 7.82.5cm. In two patients, the metastatic tumors were from gastric cancer ,in seven patients ,the metastatic tumors were from colorectal cancer and in one patient, the metastatic tumors were from malignant lymphoma. The misdiagnosis rate in out patient department was 60%. The liver metastatic tumors and the primary gastric intestinal tumors were resected at the same time in nine patients. All operated patients recovered uneventfully without any operative complications.Conclusion The morbidity of single secondary liver cancer is very low, and the patients with single secondary liver cancer can be easily misdiagnosed, just because of the lack recognition of the disease and limited clinical thought of doctors. The treatment of choice to the patient with single secondary liver cancer is to resect the liver metastatasis and the primary tumor at the same time.
出处
《肝胆外科杂志》
2003年第3期184-186,共3页
Journal of Hepatobiliary Surgery
关键词
单发转移性肝颅
诊断
治疗
误诊分析
手术
single secondary liver cancer
diagnosis
treatment, misdiagnosis
operation.
