肝肉瘤的诊断及外科治疗效果分析

Diagnosis and surgical treatment of hepatosarcoma

目的 探讨肝肉瘤的诊断及外科治疗效果 ,以提高其治疗水平。方法 回顾性分析1985～ 2 0 0 1年间外科治疗 12例肝肉瘤诊断、治疗及预后资料。结果 全组病人 1、3、5年生存率分别为 5 8%、33%、8% ,其中肝肉瘤行肝部分切除病例 1、3、5年生存率分别为 85 %、5 7%、14 %。结论 本病缺乏特异性肿瘤标志物 ,治愈性切除术可获得良好生存率。

Objective To summarize the experience in diagnosis and surgical treatment of hepatosarcoma. Methods Clincopathological features, surgical treatments and prognosis of 12 patients with hepatosarcoma treated in our hospital from 1985 to 2001 were retrospectively analyzed. Results The postoperative overall 1-, 3- and 5-year survival rate for all the patients were 58%, 33% and 8%, respectively. Meanwhile, they were 85%, 57% and 14%, respectively, for those receiving partial resection of the liver. Conclusions There is no specific serum marker for the disease. The high survival rate can be achieved by curative resection.