以发热为主要表现的肝癌的诊断与治疗：附10例分析

目的:探讨以发热为主要表现的肝癌的诊断与治疗方法。方法:回顾性分析近期收治的10例以发热为主要表现的肝癌患者的临床资料。结果:10例中4例在外院诊断为肝癌,6例误诊为肝脓肿,予以抗感染治疗较长时间。患者入院后经积极支持治疗,并良好控制体温,6例行经皮肝动脉插管化疗栓塞(TACE)治疗,4例行手术治疗,1例术后2周死亡。9例随访结果提示总体预后不佳,均于治疗后2个月至1年内死亡。结论:以发热为主要表现的肝癌应与肝脓肿相鉴别。对于此类患者,首选手术切除。

Diagnosis and treatment of hepatocellular carcinoma with fever as main symptom: a report of 10 cases

Objective: 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.