The cancer of liver, in addition to liver cell cancer outside, also include a bile duct cancer, but the latter be more rare, so under the situation that have no specially appointed, usually liver cancer what a phrase point is a liver cell cancer, the following of illustrate, is also such.
Liver cancer is the people the ten greatest cancers come out in front of malignant disease, familiar clinical symptom such as:Stomachache, right and last stomach lump, have a poor appetite, jaundice and stomach water;In addition, may also express the issue of blood, liver of the fever, appetite to crock up combine obfuscation and liver breakage cause the belly cavity bleed an etc..But these aren't the liver cancer special symptoms, from elsewhere the cancer lump transfer the symptom of liver(the liver transfer a cancer), also rather many similar to the liver cancer place;The difference of following each level is explain as follows respectively:
Cause of disease dissimilarity-the beginning of liver cancer is at the liver cell, whole environments and food with it very relevant fasten;Contract the relation of liver cancer You2 Xu a value by B type hepatitis virus people among them, in the patient's serum of liver cancer, 70% above can examine the hepatitis virus of a B type;Generally speaking, when the liver cancer become, that patient has already infected B type hepatitis virus for 34 decades.The hepatitis sufferer of B type hepatitis virus, along with the condition development, cause in the days to come the dangerous factor of contract the liver cancer have:The household history, age of the formation, liver cancer of cirrhosis are gradually long, male, Asian and take original long temporary etc.;The infection path of the people that virus most likely the perpendicular infection from mother and child, luckily the government strongly expands the vaccine of that virus to be new born's prevention to inject in recent years, estimate after 34 decades and the contract of liver cancer rate will significantly descend, then will be together even with western nation.Another important virus is a hepatitis virus, it of the infection relate to blood transfusion and the progress of its course of illness is similar to B type hepatitis, will also develop to become cirrhosis and liver cancer.Secondly is the vegetable of Huang2 Qu Mei2, this be the important carcinogen which causes liver cancer, Taiwanese region subtropics, the weather is blazing hot and damp and suit a fungi growth very much;If some farm crops, for example corn, turn to living and corn etc., store not appropriate will stir up a fungi, secrete the vegetable of Huang2 Qu Mei2;People take this as to eat but with the result that disease, from the not in context of present discussion.Moreover have some dangerous factor, for example the alcohol cirrhosis etc., not another give unnecessary details here.As for the liver transfer although the cancer is also a liver to grow a cancer,the origins isn't a liver cell, but the cancer lump which derives from other organs, follow a vein or liver artery to transfer to spread liver, because of door the system of the vein distribute, the cancer lump of digest way follow it but transfer the hepatic case particularly and much sees and the familiar liver transfers a cancer to come from:Large intestine rectum cancer, stomach cancer, pancreas cancer, breast cancer, lung cancer and melanin lump etc..
The dissimilarity of clinical performance-the liver cancer of the domestic is near concern in the people and the B type and the C type hepatitis virus, the virus infect after, parts of sufferers become cirrhosis and then develop to become liver cancer;Different in the western nation then, the patient of their liver cancer 890% with alcohol cirrhosis relevant;So, dangerous factor to say, regardless is a disease toxicity of, perhaps is the patient of alcohol liver cancer, most likely all have the background of cirrhosis and is known as the majority of the male;And liver's transfering then a cancer be different, have no the difference of sex, also have no the tendency of cirrhosis.Secondly, liver cancer and liver transfer a cancer in the distinction in the liver, such as learn a check by image, for example the ultra sound, computer break a layer, even the nuclear magnetic resonance scan a check, for this both of don't greatly discriminate a help, but the pit cure of gallium - 67 scan to then contribute to diagnosis, the cell of liver cancer can take gallium - 67 but present image, but the liver transfer a cancer to then deny, so do this kind of to scan, appear to take image, 90% is above a liver cancer.In addition try to find out to be taken bad cooking stove to come from at first what organ, will also have a help for disease diagnosis.Worthy of make reference to BE:The serological test does cancer lump marking, for example:A type embryo's egg white(AFP) and cancer embryo antigen(CEA), also very useful to the diagnosis;If the AFP obviously increases Gao, then compare elephant liver cancer, because the cell of 80% above liver cancer takes cause of have the AFP;Whereas, CEA abnormality of should consider being to transfer a cancer, this is because of the gland cancer most of the stomach and intestines way to take to have CEA antigen;These check though important reference index sign, but also incompletely dependable, finally diagnose, or want to be cut into slices by organization, have the pathologic check then can make sure.In addition, on the symptoms if have the phenomenon that the red corpuscle increase, for discriminate the top of the diagnosis also has reference value.Cause red corpuscle to increase to living because the cell of liver cancer can secrete an EPO and stimulate marrow, but 10% of the case which has liver cancer doesn't arrive.While just appearing these symptoms, should even thought of liver cancer;Another have to notice of BE, even if have the red corpuscle the excessive situation, but many the patient of liver cancer have low cirrhosis, the Ning blood factor density and blood platelets lack of condition of patient, cause esophagus vein blowout to bleed, the digest ulcerate bleed or bleed Qing noodles issue of blood...etc. and these issue of bloods offset originally the red corpuscle excessive symptoms.
Organization pathology of dissimilarity-see from the external appearance, the focus outward appearance of liver cancer is often softer, and has issue of blood trace;But the liver transfer a cancerous focus to much present blood-red color, touch harder, at the liver other parts that didn't transfer, few meeting also the situation of cirrhosis.Can make liver cancer but often along with the cirrhosis, cirrhosis, it is thus clear that harden part to contain many knots stanzas that the sizes don't wait, this livers organization which is fallen to sink by the freshman and the bad dead is box off by the fiber organization but become of, turn because of having a fiber, past the touch be harder.Distribute to see for the focus, the liver cancer is often located on middle, often is a single of, or a big focus, the flank chaperonage satellite small illness cooking stove, if outstanding liver surface, the focus is central not hollow, sometimes the naked eye look, with cirrhosis of big knot the stanza be hard distinct;But liver's transfering a cancer often is several focus dispersals at the liver inside, if close to liver to express, it is thus clear that because the center bad dead, but make the liver surface present hollow;But these observation see only provide a reference, isn't completely correct.Moreover, if cut open to see, the focus presents green of, can affirm be a liver cancer, not the liver transfers a cancer, because the liver cell cancer can secrete the cause of Dan dye, but 10% of the case which has liver cancer be or so.On the other hand, as microscope observation see, the cell of twos structure have dissimilarity, in addition to bile duct cancer outside, the cell of liver cancer with Xie form row thunder, but liver's transfering a cancer be most likely the gland cancer which digests a way to transfer to come over of, so still reserve some gland the characteristic of the cancer, for example present a gland body a form a growth, and will secrete sticky liquid, this is different from the liver cancer.In addition, if the liver cell has already stired up a bad type, relatively was like liver cancer, but on the focus if discover Dan dye of, can make sure to be a liver cancer.Furthermore dye by organization immunity chemistry, to the differentiation of twos also very helpful, for example dye by anti- A type embryo's egg white(AFT), the liver cancer often tests positive for, but the liver transfer a cancer to then deny;Again if dye by single stub antibody anti-cancer embryo antigen(CEA), then the way of the appetite transfer to come over of often test positive for, but the liver cancer be few thus;If transfer a cancer to come from other organs, then can do organization dyeing to read by judge that where the tumor is derive from with the appropriate cancer lump marking.From the above elucidation, can know, have to synthesize various appropriate data to grind to judge, then can make sure diagnosis.
The cancer lump transfers liver-this means that its possibility has already included other distance to transfer, so separately expect to say in the cancer, this is already Issue 4;Generally speaking, after prepare badly, its survival time and liver are have by the degree of invasion obvious relation;Take large intestine cancer as an example, time and liver of survival are become by the degree of invasion inverse ratio;The livability for a year to speak:When two leafs of liver extensively transfered, the survival was about 5.7%, if only a leaf has 1 to above transfer then is 27%, if only 1 transfers a focus then for 60%.And the liver cancer be from the jump to namely grow in the liver, in early days liver cancer(transfered a cancer and talk to the liver, even if only 1 transfered a focus, this was already the later period), often take having operation excision as main treatment way, if before the symptom haven't appear namely to the excision, then five year, livability is 50%, but wait until symptom to appear after just unwillingly cut off of words, then five year, the livability declines to 5%, it is thus clear that cure in early days of importance, but even can give excision in early days, patient also often because relapse of depravation and liver cancer of cirrhosis or transfer but die;Be showed from this is a liver cancer, or the liver transfer a cancer, although have many dissimilarity, it prepare behind but is all dreary.
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