原发性肝癌淋巴结转移的临床分析——附57例报告  

Clinical analysis of primary hepatic carcinoma with lymph nodes metastasis in 57 patients

作　　者：周鹏志[1] 谭慧珍[1] 黄越前[1] 彭文明[1] 

机构地区：[1]广州医学院第三附属医院,510150

出　　处：《新医学》2009年第5期298-300,共3页Journal of New Medicine

摘　　要：目的：探讨原发性肝癌（肝癌）淋巴结转移的临床表现、病理特点与预后。方法：将肝癌伴淋巴结转移的57例患者设为转移组，同期不伴淋巴结转移的50例肝癌患者为非转移组，比较2组的临床、病理特点和预后等情况。结果与结论：与非转移组比较，转移组的临床表现缺乏特异性；肝癌病灶最大直径等于或超过5cm、肿瘤包膜不完整、病理Ⅲ-Ⅳ级者多见；术后1年生存率低。提示伴淋巴结转移是影响肝癌预后的重要因素。Objective： To study the clinical manifestation, pathological characteristic and prognosis of primary hepatic carcinoma with lymph nodes metastasis. Methods： Fifty-seven cases of primary hepatic carcinoma with lymph nodes metastasis were set up as metastatic group, and fifty cases of primary hepatic carcinoma without lymph nodes metastasis were set up as non-metastatic group synchronously. The clinical manifestation, pathological characteristic and prognosis were compared in these two groups. Results and Conclusion： Compare with non-metastatic group, in metastatic group, the clinical manifestation showed non-specificity, the tumors generally were over 5 cm in diameter, the tumor had not completed envelope, and pathological grade showed more Ⅲ-Ⅳ grade cases. The one year survival rate after operation was lower. It suggests that the lymph nodes metastasis affects the prognosis of primary hepatic carcinoma.

关 键 词：原发性肝癌 淋巴结转移 病理学 预后 

分 类 号：R735.7[医药卫生—肿瘤]