成人肝血管肉瘤尸检发现率为6/10万,在原发性肝肿瘤中占1.8%。二氧化钍、砷和γ射线可诱致本病,1974年起有报告证明肝血管肉瘤与接触氯乙烯有关。本文报告一例因长期应用二乙基己烯雌酚而发生的肝血管肉瘤。患者男性,76岁,退休多年,无氯乙烯接触史,无饮酒史。12年前发现糖尿病和中度高血压,同时作耻骨上前列腺截除术,证实为分化良好的腺癌。后持续 The detection rate of autopsy in adult hepatic vascular sarcoma was 6/10 million, accounting for 1.8% of primary liver tumors. Cerium dioxide, arsenic, and gamma rays can induce the disease. Since 1974, it has been reported that hemangiosarcoma is associated with exposure to vinyl chloride. This article reports one case of hepatic angiosarcoma arising from long-term use of diethylstilbestrol. The patient was male, 76 years old, retired for many years, had no exposure to vinyl chloride, and had no history of drinking. Twelve years ago, diabetes and moderate hypertension were detected. At the same time, suprapubic prostatectomy was performed and confirmed as a well-differentiated adenocarcinoma. After lasting