病例报告

肝原发性腺鳞癌5例临床病理观察

  • 龙满美 ,
  • 贺薇 ,
  • 何巧 ,
  • 施永恒 ,
  • 刘强
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  • 上海交通大学 医学院附属仁济医院病理科,上海 200127
龙满美(1989—),女,住院医师,硕士;电子信箱:longmanmei1989@163.com。

网络出版日期: 2017-02-28

Clinicopathological observation of 5 cases of primary liver adenosquamous carcinoma

  • LONG Man-mei ,
  • HE Wei ,
  • HE Qiao ,
  • SHI Yong-heng ,
  • LIU Qiang
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  • Department of Pathology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 200127, China

Online published: 2017-02-28

摘要

肝原发性腺鳞癌是一种十分罕见的肝脏恶性肿瘤,预后极差。该文回顾性分析了5例肝原发性腺鳞癌患者的临床资料,其中男性4例,女性1例,年龄50~67岁,平均年龄60.2岁。组织学特点为腺癌和鳞癌2种成分混合存在,5例均以鳞癌成分为主且比例超过80%。4例采用手术切除,1例进行肝移植;术后随访6~35个月,中位生存时间15个月。截至随访日期死亡3例,存活2例,术后1年和2年生存率分别为60%和20%。

本文引用格式

龙满美 , 贺薇 , 何巧 , 施永恒 , 刘强 . 肝原发性腺鳞癌5例临床病理观察[J]. 上海交通大学学报(医学版), 2017 , 37(2) : 267 . DOI: 10.3969/j.issn.1674-8115.2017.02.028

Abstract

Primary liver adenosquamous carcinoma is a rare kind of liver malignant tumor with very poor prognosis. Clinical data of 5 cases were analyzed retrospectively, four male and one female, whose average age was 60.2 years (50-67 years) old. Adenosquamous carcinoma contains both adenocarcinoma and squamous carcinoma histologically, and squamous carcinoma cells are dominant (>80%). Four cases underwent surgical resection and one received liver transplantation. The postoperative follow-up period ranged from 6 to 35 months and the mean survival time of these cases was about 15 months. Three patients died during the follow-up period. The survival rates 1 and 2 years after operation were 60% and 20%, respectively.

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