家族聚集性肝癌发病的临床及病理特点
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莫显伟

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Clinical and pathological characteristics of hepatocellular carcinoma with family aggregation
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    摘要:

    摘要:目的:了解家族聚集性肝癌发病的临床及病理特点,探讨肝癌家族内聚集发病可能的原因。
    方法:收集25例家族聚集性肝癌患者(FH组)与39例非家族聚集性肝癌患者(NF组)的临床及病理资料并对两组资料进行比较。
    结果:两组患者在同生活非血缘家族成员肝癌发生率、肿瘤细胞分化、肿瘤有无包膜、有无静脉癌栓、AFP及术后1年复发率比较差异无显著性(P>0.05)。FH组男女性别比、家族成员乙肝感染率、术后3年复发率高于NF组(P<0.05),而平均年龄、肝纤维化分期、HBV-DNA拷贝数低于NF组(P<0.05)。
    结论:家族聚集性肝癌可能是患者在高遗传易感性基础上,对致癌因素(如乙肝家族性发病)的敏感性增高,引起肝癌发病在家族内聚集的现象。

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    Abstract:Objective:To understand the clinical and pathological characteristics of hepatocellular carcinoma(HCC) with family aggregation (FH), and investigate the possible causes of HCC with FH aggregation.
    Methods :The clinical and pathological data of 25 patients with HCC with FH and 39 patients with HCC with non-family aggregation(NF) were collected and compared.
    Results:No significant difference was found in incidence of HCC, differentiation of tumor cells, the presence or absence of tumor capsule or venous tumor thrombosis, level of AFP and rate of recurrence at year after surgery between group FH and group NF (P>0.05). The gender ratio (male-to-female)、the HBV infection rate and the 3-year recurrence rate after surgery in Group FH was higher than that in Group NF(P<0.05). The average age、the pathological stage of liver fibrosis and HBV-DNA copy number in Group FH was lower than that in Group NF(P<0.05).
    Conclusions:Genetic predisposition to disease and increased susceptibility to environmental carcinogens in the family may contribute to HCC with family aggregation.

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莫显伟, 林源.家族聚集性肝癌发病的临床及病理特点[J].中国普通外科杂志,2008,17(1):3-5.
DOI:10.7659/j. issn.1005-6947.2008.01.002

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  • 在线发布日期: 2008-01-25