小儿原发性肝癌

摘要

@@ 小儿原发性肝癌在儿童期恶性肿瘤中的比率,尽管各家统计不一,但大同小异.不少人赞成小儿原发性肝癌,居该年龄期腹部恶性肿瘤的第三位.仅次子Wilms瘤和神经母细胞瘤.%Twenty-four cases of primary carcinoma of liver in childhood are reported. In this series,the ratio between neuroblastoma, nephroblastoma and carcinoma of liver is 1:5:2. Carcinoma of liver constitutes 96% of primary hepatic malignancies. All the patients under 3 in this, series had the juvenile type of carcinoma and the incidence was not influenced by sex. The incidence of the adult type increases with, age and is predominant in male.To make an early diagnosis, special attention should be paid to the symptoms and signs at both compensatory and decompensatory stages, as well as to the diagnostic procedures employed at the early clinical stage. Also important to the diagnosis is a combined study including alpha-foeto-protein, liver function tests, radioactive isotopes, angiography, ultrasonography and CT.Liver puncture biopsy may be taken to establish the diagnosis. Hepatic artery catheterization and the use of Chinese herbal medicine are found helpful to the treatment in advanced cases.