内科学教学课件625 原发性肝癌.pptVIP

Metastasis Vascular invasion: intrahepatic ~ extrahepatic ~ (lung) Lymphatic invasion: portal lymph node Direct infiltration: not common Clinical Findings Symptoms Signs Laboratory findings Imaging studies Symptoms Unaware until the tumor has reached an advanced ones. 亚临床肝癌——患者无任何症状和体征，在AFP和B型超声检查时偶然发现的肝癌. Symptoms Abdominal pain (dull continuous) 肝区疼痛——持续性胀痛或钝痛 Hepatomegaly (firm nodular) 肝肿大——进行性 质地硬 结节状 Ascites (blood tinged) 腹水——血性 Jaundice (obstructive) 黄疸——阻塞性多见 Symptoms of cirrhosis