原发性肝癌肝外表现42例临床分析

Clinical analysis on extrahepatic manifestations of primary liver cancer in 42 cases

目的:总结原发性肝癌不同的肝外表现,以期提高非典型性原发性肝癌诊断的正确率。方法:回顾性分析我院42例以肝外症状为首发表现的原发性肝癌患者的临床资料。结果:首次就诊确诊25例(59.6%);肝外首发症状分别为腹泻16例(38.1%),低血糖12例(28.6%),发热7例(16.7%),非肝区疼痛3例(7.1%),急腹症2例(4.8%),其他2例(4.8%)。结论:加强对肝癌伴癌综合征的认识、详细询问病史、认真体格检查及相应的辅助检查能提高诊断的准确率,减少漏诊及误诊。

Objective：To summarize the different extrahepatic manifestations of primary liver cancer in order to increase the accuracy rate of atypical primary liver cancer.Methods：The clinical data of 42 patients with primary liver cancer,extrahepatic symptoms occurred first,were retrospectively analyzed.Results：The accuracy of first consultation was 66.7%.The first symptoms of extrahepatic manifestations were diarrhea in 16 cases（38.1%）,hypoglycemia in 12 cases（28.6%）,fever in 7 cases（16.7%）,non-hepatic painin 3 cases（7.1%）,acute abdomen in 2 cases（4.8%） and others in 2 cases（4.8%） respectively.Conclusion：Strengthening the understanding of paraneoplastic syndrome,inquirying the history of the diseases,careful physical examinations and correspondent auxiliary examination can help us improve the accuracy of diagnosis and decrease the missed diagnosis and misdiagnosis.