中国普通外科杂志2012，Vol.21Issue(7)：804-806,3.
以发热为主要表现的肝癌的诊断与治疗:附10例分析
Diagnosis and treatment of hepatocellular carcinoma with fever as main symptom: a report of 10 cases
张向化 1孙经建 1朱倩 1李君 1晏建军 1严以群1
作者信息
- 1. 第二军医大学东方肝胆外科医院肝外一科,上海200438
- 折叠
摘要
Abstract
To investigate the diagnosis and treatment of hepatocellular carcinoma (HCC) with fever as main
symptom. Methods: The clinical data of 10 HCC patients with fever as main symptom recently admitted to our hospital
were retrospectively analyzed.
Results: Of the 10 patients, 4 cases were diagnosed with HCC, but 6 cases had been misdiagnosed as liver
abscess by other hospitals and were given anti-infective treatment for a long time. All of the patients received
aggressive management and their temperatures were effectively controlled after admission. Six patients
underwent transcatheter arterial chemoembolization (TACE) and 4 patients underwent surgical treatment.
One patient died 2 weeks after surgery. The follow-up data suggested a poor general prognosis. The other 9
cases died between 2 months and 1 year after treatment.
Conclusion: HCC with fever as main symptom should be differentiated from liver abscess, and surgical
resection is the first choice for treatment of these patients.关键词
肝肿瘤/诊断/肝肿瘤/治疗/发热/并发症Key words
Liver Neoplasms/diag/ Liver Neoplasms/ther/ Fever/compl分类
医药卫生引用本文复制引用
张向化,孙经建,朱倩,李君,晏建军,严以群..以发热为主要表现的肝癌的诊断与治疗:附10例分析[J].中国普通外科杂志,2012,21(7):804-806,3.
