【摘要】 目的　探讨外生型肝癌的临床特点和诊断治疗。方法　回顾性分析 11例外生型肝癌的临床资料。结果　肿瘤体积巨大 ,平均直径为 (12 .4± 4.3 )cm。均有完整包膜。肿瘤位于左叶 6例 ,右叶 3例 ,尾状叶 2例。行肝段切除 6例 ,肝叶切除 4例 ,未切除 1例。 1,2 ,3年生存率分别为80 .1% ,62 .3 % ,47.6%。结论　外生型肝癌虽瘤体巨大 ,但切除率高 ,预后较好。根治手术应包括相应肝段或肝叶的切除。更多还原

【Abstract】 Objective To study the clinical characteristics, diagnosis and treatment of extrahepatic growing hepatocellular carcinoma(HCC). Methods The clinical data of 11 patients with extrahepatic growing HCC were analysed retrospectively. Results The mean diameter of the tumors was (12.4±4.3)cm.All the tumors in the 11 patients had complete capsule formation. The numbers of tumors located in the left, right and caudate lobe of the liver were 6,3 and 2 respectively. Surgical treatment included segmentectomy in 6 cases , lobectomy in 4 cases, and unresectable in 1 case. The 1-, 2-, and 3-year survival rates were 80.1%,62.3%, and 47.6% respectively. Conclusions Although the size of extrahepatic growing HCC is large,the resection rate is high and prognosis is good. The resection of hepatic segments or lobes containing the lesion should be done in radical operation of this tumors.更多还原