成年人肝母细胞瘤12例分析  

Hepatoblastoma in adults: a report of 12 cases

作　　者：武强[1] 李强[1] 

机构地区：[1]天津医科大学附属肿瘤医院肝胆外科,天津市300060

出　　处：《中华肝胆外科杂志》2006年第10期667-669,共3页Chinese Journal of Hepatobiliary Surgery

摘　　要：目的探讨成年人肝母细胞瘤的临床特点和诊治方法。方法回顾性分析我院1963年5月至2005年3月收治的12例成年人肝母细胞瘤病人的诊治和随访情况。结果对于40～60岁病人,症状在3个月以内,以腹胀、腹痛为主诉,AFP(+),瘤体较大(>10 cm),CT发现肝脏占位伴钙化或囊性变应考虑成年人肝母细胞瘤的可能。手术切除是主要的治疗手段。结论成年人肝母细胞瘤具有病程短、进展快、恶性程度高、预后差的特点,早期诊断,尽早手术切除,术后紧密随访,综合治疗是提高生存率的关键。Objective To study the clinical features and treatments of hepatoblastoma in adults. Methods The clinical data of 12 adult patients with hepatoblastoma treated in our hospital from May 1963 to March 2005 were retrospectively analyzed. Results For 40-60 year-old patients with symptoms under 3 months, the main complaints being epigastric distention and pain, AFP （ ＋ ）, huge tumor （diameter〉10 cm）, calcification and cystic changes showed in CT scanning, adult hepatoblastoma should be considered. Surgical resection was the major and effective treatment for the disease. Conclusions Early diagnosis, prompt therapy and close follow-up are important for survival of adult patients with hepatoblastoma.

关 键 词：肝肿瘤 肝母细胞瘤 成年人 

分 类 号：R735.7[医药卫生—肿瘤]