Progress on surgical diagnosis and treatment of pedunculated hepatocellular carcinoma

ZHAO Nai-bo; HUANG Hai-lang; LI Wen-sen; YANG Yuan-yuan; LI Hong-yu; HE Yuan-xiang; WEN Kun-ming

doi:10.11659/jjssx.02E024050

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Progress on surgical diagnosis and treatment of pedunculated hepatocellular carcinoma

Review | 更新时间：2025-01-21

- Progress on surgical diagnosis and treatment of pedunculated hepatocellular carcinoma
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 2, Pages: 173-177(2025)
- 作者机构：
  
  1.贵州茅台医院普外科，贵州仁怀564500
  2.东莞市人民医院胃肠外科，广东东莞 523000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.02E024050
  CLC： R657.3
- Published：25 February 2025，
  
  Received：22 February 2024，
- 稿件说明：
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ZHAO NAI-BO, HUANG HAI-LANG, LI WEN-SEN, et al. Progress on surgical diagnosis and treatment of pedunculated hepatocellular carcinoma. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 173-177.
DOI：

ZHAO NAI-BO, HUANG HAI-LANG, LI WEN-SEN, et al. Progress on surgical diagnosis and treatment of pedunculated hepatocellular carcinoma. [J]. Journal of regional anatomy and operative surgery, 2025, 34(2): 173-177. DOI： 10.11659/jjssx.02E024050.

摘要

外生型肝癌（PHCC）是一种特殊类型的肝癌，病理上与一般的肝细胞癌相似。综合文献数据，PHCC的发病率低，临床上遇到PHCC患者极少，目前仅仅文献报道数百例，且多为病例报道。临床医师对其诊治缺乏经验，易误诊。当考虑诊断为PHCC时，应对CT检查结果以及患者的肝炎病史、肝功能、甲胎蛋白（AFP）等进行综合全面分析，作出合理诊断，以避免误诊误治；术后的病理结果是支持诊断最重要的检查结果。PHCC的治疗以手术为主，因其包膜完整等特点，手术切除相对容易，且治愈率较普通肝细胞癌高，术后生存率相对较为理想；对于不可切除的PHCC，可采用以经导管动脉化疗栓塞为主的方式进行姑息治疗。笔者就PHCC的诊断和治疗进展作一综述，以期为临床提供参考。

Abstract

关键词

外生型肝癌诊断外科治疗研究进展

Keywords

pedunculated hepatocellular carcinomadiagnosissurgical treatmentresearch progress

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