Olubuyide I O, Fatukasi J I, Okubanjo A O
Department of Medicine, University College Hospital, Ibadan, Nigeria.
Br J Clin Pract. 1990 Dec;44(12):546-8.
In a prospective study, 38 consecutive cases of primary liver cell carcinoma were seen over one year (1988) at the liver unit of the University College Hospital, Nigeria. An analysis of the chest X-ray findings was made. Normal chest X-rays were found in 23.7% of cases. Abnormal findings included elevated diaphragm (63.2%), pulmonary metastases (18.4%), and pleural effusion (18.4%), perhaps the highest ever so reported. It may be concluded that, in a middle-aged man with a hard irregular hepatomegaly, the findings of the triad of elevated diaphragm, pulmonary metastasis and pleural effusion on chest X-ray should make one very suspicious of liver cancer. The differential diagnoses of these radiological findings are briefly discussed.
在一项前瞻性研究中，1988年在尼日利亚大学学院医院肝病科，一年内连续观察到38例原发性肝细胞癌患者。对胸部X光检查结果进行了分析。23.7%的病例胸部X光检查正常。异常表现包括膈肌抬高（63.2%）、肺转移（18.4%）和胸腔积液（18.4%），这可能是有史以来报道的最高比例。可以得出结论，对于一名中年男性，若出现肝脏肿大坚硬且不规则，同时胸部X光显示膈肌抬高、肺转移和胸腔积液三联征，应高度怀疑患有肝癌。本文简要讨论了这些影像学表现的鉴别诊断。
