以急性发热为首发症状的肝细胞癌4例临床分析  

Clinical analysis on 4 cases of hepatocellular carcinoma with acute febrile as initial symptoms

作　　者：王加双 刘园园[1] 雷飞飞[1] 雷旭[1] 谭华炳[1] 

机构地区：[1]湖北医药学院附属人民医院肝病研究所,湖北十堰442000 [2]房县军店镇中心卫生院外科,湖北房县442100

出　　处：《中国肝脏病杂志（电子版）》2017年第2期81-84,共4页Chinese Journal of Liver Diseases：Electronic Version

基　　金：湖北省自然科学基金项目(2011CDB130);2014年十堰市人民医院/湖北医药学院附属人民医院院级科研项目计划(201404);湖北医药学院2014年教学科研立项项目(2014058)

摘　　要：为探讨以急性发热为首发症状的肝细胞癌(HCC)的临床特点,本文对4例以急性发热为首发症状的HCC患者进行分析,发现以发热为首发症状的HCC误诊率高,发热原因与癌性发热和感染有关,通过甲胎蛋白、血清异常凝血酶原、降钙素原、肝脏影像学以及病理学检查综合判断是确定病因的重要手段,以急性发热为首发症状的HCC的治疗应遵循肝癌治疗原则。To explore the clinical features of hepatocellular carcinoma（HCC） with acute febrile as initial symptoms by analyzing 4 cases of febrile hepatocellular carcinoma.The results showed that febrile hepatocellular carcinoma has a high misdiagnosis rate.The causes of fever is related to cancerous fever and infection.AFP,PIVKA,PCT,imaging and pathology examination of liver were the important ways to determine the causes of fever.The therapeutic principle of febrile hepatic carcinoma is the same as hepatocellular carcinoma.

关 键 词：肝细胞癌 发热 急性 降钙素原 诊治分析 

分 类 号：R735.7[医药卫生—肿瘤]