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原发性肝癌(下称肝癌)恶性程度很高,手术后5年生存率一般仅为20％左右,生存10年以上者很少见。本所自1972年以来,手术切除肝癌后生存10年以上者共19例。本文通过对照分析这些病例和其他手术病例的疗效,研究影响术后远期生存的主要因素及提高疗效的措施。对象和方法 1.肝癌切除后生存10年以上者19例为分析组。为了便于对照分析,随机选择同期内肝癌切除后生存3年以上者19例作为对照组。 2.肝癌诊断根据1977年全国肝癌协作组会议制定的标准,术后证实均为肝细胞肝癌。 3.AFP>50μg/ml为阳性,≤50μg/ml为阴性。 4.小肝癌的标准为瘤体直径≤3cm,瘤结节不超过2个。
Primary liver cancer (hereinafter referred to as liver cancer) has a high degree of malignancy. The 5-year survival rate after surgery is generally only about 20%, and it is rare to survive for more than 10 years. Since 1972, we have had 19 patients who have survived more than 10 years after surgical resection of liver cancer. This article analyzes the efficacy of these cases and other surgical cases to study the main factors affecting long-term postoperative survival and measures to improve efficacy. Subjects and methods 1. 19 cases of liver cancer resection after more than 10 years were analyzed. In order to facilitate the control analysis, 19 patients who survived for more than 3 years after hepatectomy for HCC were randomly selected as the control group. 2. The diagnosis of hepatocellular carcinoma According to the standard established by the National Hepatitis Cancer Collaboration Group Meeting in 1977, hepatoma was confirmed postoperatively. 3. AFP> 50 μg/ml positive, ≤ 50 μg/ml negative. 4. The standard of small hepatocellular carcinoma is that the diameter of the tumor is ≤ 3cm and no more than 2 tumor nodules.