报告原发性肝癌切除术后生存10年以上者19例,通过对照分析,认为长期生存的原因:(1)病期早,瘤体小。(2)机体免疫功能尚好,其病理表现为肿瘤均有包膜、多数瘤体内有纤维分隔或板状增生,癌周(内)有明显的淋巴细胞浸润。(3)手术根治率高。(4)慢性活动性肝炎及肝硬化病例少。早期诊断、早期手术是提高肝癌病人远期疗效的关键。预防乙型肝炎和肝硬化的发生发展,可以减少肝癌术后复发。 Reported 19 cases of primary liver cancer resection after survival for more than 10 years, through control analysis, that the reasons for long-term survival: (1) early stage of the disease, the tumor is small. (2) The immune function of the body is still good. The pathological manifestations are that the tumors are enveloped, most of the tumors have fibrous or plate-like hyperplasia in the body, and there are obvious lymphocyte infiltrations in the periphery (internal). (3) The cure rate is high. (4) There are few cases of chronic active hepatitis and cirrhosis. Early diagnosis and early surgery are the key to improve the long-term efficacy of liver cancer patients. Prevention of the development of hepatitis B and cirrhosis can reduce the recurrence of liver cancer after surgery.