以阻塞性黄疸为首发症状的肝癌的误诊

MISDIAGNOSIS OF HEPATOCELLULAR CARCINOMA WITH OBSTRUCTIVE JAUNDICE AS PRIMARY SYMPTOM (A REPORT OF 26 CASES)

目的 探讨以阻塞性黄疸为首发症状的肝癌的临床特征及误诊原因。方法 收集以阻塞性黄疸为首发症状的原发性肝癌患者 39例 ,其中术前误诊 2 6例 ,对其临床特征及误诊原因进行了分析。结果 此类患者占肝癌患者的比例为 6 .3% ,术前误诊率为 6 6 .7% ,最易误诊的疾病为黄疸型肝炎 (15 .4% )及肝门部胆管癌 (15 .4% )。

Objective To study the cause of misdiagnosis and clinical features in hepatocellular carcinoma (HCC) with obstructive jaundice as primary symptom.Method 39 patients with HCC with obstructive jaundice as primary symptom were collectod.There are 26 cases were misdiagnosed before operation,the clinical featrues and the cause of misdiagnosis of these patients were studyed.Results The incidence of such patients was 6.3% in all HCC patients,before operation,66.7% of such cases were misdiagnosed.icteric hepatitis and hilar cholangiocarcinoma were the diseases that very easy to be misdiagnosed.Conclutions The results of image test and blood test was the major evidence for these patients.