Wittstock G, Meyer J, Meyer M
Pathologisches Institut, Bezirkskrankenhauses Schwerin, DDR.
Zentralbl Allg Pathol. 1988;134(2):189-96.
The frequency of liver cell carcinomas (n = 249) in autopsies of adults (n = 36,074) from 1960 to 1981 was 0.69%; in males (n = 19,124) 1% (n = 192) and in females (n = 17,950) 0.34% (n = 57). The development of liver cell carcinoma was associated with cirrhosis of the liver in 87% of the cases (89% in males and 70% in females). The relative frequency of liver cell carcinoma in autopsies is increasing: 1960 to 1966 0.5%, 1967 to 1973 0.89%, 1974 to 1981 1.4%. This increase is mainly the result of the development of carcinoma after cirrhosis in males: 1960 to 1966 0.49%, 1967 to 1973 0.86% and 1974 to 1981 1.2%. Cirrhosis of the liver from 1974 to 1981 showed a continuous increase in the relative frequency and an age-shift towards younger age groups in males. Throughout the study period a history of alcohol abuse was frequently given in the patients history.
1960年至1981年期间,在36074例成人尸检中,肝细胞癌(n = 249)的发生率为0.69%;男性(n = 19124)为1%(n = 192),女性(n = 17950)为0.34%(n = 57)。87%的肝细胞癌病例(男性为89%,女性为70%)的发生与肝硬化有关。尸检中肝细胞癌的相对发生率在上升:1960年至1966年为0.5%,1967年至1973年为0.89%,1974年至1981年为1.4%。这种上升主要是男性肝硬化后发生癌症的结果:1960年至1966年为0.49%,1967年至1973年为0.86%,1974年至1981年为1.2%。1974年至1981年,男性肝硬化的相对发生率持续上升,且发病年龄向年轻群体偏移。在整个研究期间,患者病史中经常有酗酒史。