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肝癌是预后很差的恶性肿瘤,在亚洲常见.近年因诊断影像技术的进步,肝癌切除率有大幅度提高.小肝癌切除率增加,但肝癌切除的长期效果并不满意.作者调查1981～1986年东京大学医院69名原发性肝癌切除病例,研究如何降低肝癌术后复发的问题.69例原发性肝癌病人切除后均在门诊或附属医院作密切随访;每月查一次B超和AFP,CT检查一年二次,随访22～58个月(平均44个月).病人年龄平均57.4岁,男性占86%.其中肝硬化为52例(76%),慢性肝病14例(20%),肝正常只占4%.AFP升高者占75%.单发肝癌58例(84%),多发肝癌11例(16%).肿瘤75%有纤维包膜,肿瘤直径0.5～16.3cm,其中<2cm为12例(17%),2～5cm为37例(54%),5～10cm为11例(16%),>10cm为9例(13%).住院
Liver cancer is a malignant tumor with poor prognosis. It is common in Asia. In recent years, due to advances in diagnostic imaging techniques, the resection rate of liver cancer has increased significantly. The resection rate of small liver cancer has increased, but the long-term effect of resection of liver cancer is not satisfactory. The authors investigated 1981-1986. 69 cases of resection of primary liver cancer at Tokyo University Hospital, study how to reduce the recurrence of liver cancer. 69 cases of primary liver cancer patients were followed up in outpatient or affiliated hospitals after follow-up; monthly examination of B ultrasound and AFP CT scans were performed twice a year for 22 to 58 months (average 44 months). The patients were 57.4 years old and 86% men. Among them, 52 were cirrhosis (76%), and 14 were chronic liver disease (20%). ), liver normal only 4%. AFP increased accounted for 75%. 58 cases of single liver cancer (84%), multiple liver cancer in 11 cases (16%). Tumor 75% have a fiber capsule, tumor diameter 0.5 ~ 16.3cm Among them, 12 cases (17%) were <2cm, 37 cases (54%) were 2~5cm, 11 cases (16%) were 5~10cm, and 9 cases (13%) were >10cm.