Andersen I B, Sørensen T I, Krogsgaard K
Ugeskr Laeger. 1989 Feb 27;151(9):550-3.
Hepatocellular carcinoma (HCC) constitutes 1% of all the cases of cancer in Denmark. The global incidence appears to be increasing. HCC is highly malignant with an average survival rate of approximately six months after establishing the diagnosis. A histological variant of HCC, fibrolamellar hepatocarcinoma, has, however, a one-year survival rate of 75%. HCC has a multifactorial etiology in which the most important factors are the Hepatitis B virus, cirrhosis and aflatoxin with alcohol as synergic co-carcinogen. The therapeutic possibilities are few and are mainly of palliative character but resection of the liver and liver transplantation may be considered in selected cases.
肝细胞癌(HCC)占丹麦所有癌症病例的1%。全球发病率似乎在上升。HCC具有高度恶性,确诊后的平均生存率约为6个月。然而,HCC的一种组织学变异型,即纤维板层型肝癌,其一年生存率为75%。HCC的病因是多因素的,其中最重要的因素是乙肝病毒、肝硬化和黄曲霉毒素,酒精作为协同致癌物。治疗选择有限,主要是姑息性治疗,但在某些特定病例中可考虑肝切除和肝移植。