CAJ | 학술논문

目的探讨原发性肝脏双肿瘤的临床特点.方法回顾性分析同时性手术切除的5例肝脏双肿瘤病人的临床资料.结果 5例病人均为男性、HBsAg阳性和双肿瘤结节均位于肝右叶.4例甲胎蛋白(alpha-fetoprotein,AFP)>20 ng/ml.术前诊断4例为肝细胞癌,1例为肝内胆管癌.术后2年4例出现复发或转移.结论原发性肝脏双肿瘤更多地表现为肝细胞癌的特点.肝切除是有效的治疗手段.
목적 탐토원발성간장쌍종류적림상특점.방법 회고성분석동시성수술절제적5례간장쌍종류병인적림상자료.결과 5례병인균위남성、HBsAg양성화쌍종류결절균위우간우협.4례갑태단백(alpha-fetoprotein,AFP)>20 ng/ml.술전진단4례위간세포암,1례위간내담관암.술후2년4례출현복발혹전이.결론 원발성간장쌍종류경다지표현위간세포암적특점.간절제시유효적치료수단.
Objective To explore clinical features of patients with double primary hepatic canc-ers.Methods The clinical data of 5 patients with double primary liver cancer resected synchronously were retrospectively analyzed.Results All the 5 patients were male and HBsAg-positive.All of double cancer nodules were located in the right lobe.Four patients had a serum AFP level >20 ng/ml.Four patients were diagnosed to have hepatocellular carcinoma and the other intrahepatic cholangiocarcinoma preoperatively.After resection, 4 patients had recurrence or metastases during the follow-up for 2 years.Conclusion Patients with double primary hepatic cancers have features close to hepatocellular carcinoma.Hepatic resection is an effective treatment for the disease.