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中华肝脏外科手术学电子杂志 ›› 2023, Vol. 12 ›› Issue (01) : 22 -28. doi: 10.3877/cma.j.issn.2095-3232.2023.01.005

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肝细胞癌早期诊断和筛查
丁成明1, 侯嘉丰1, 陶光伟1, 齐硕1, 谢翼1, 冯灿1, 陈振坤1, 蒋心渺1, 邓鑫1, 彭健2,()   
  1. 1. 421001 湖南省衡阳市南华大学附属第一医院肝胆胰外科
    2. 410008 湖南省长沙市中南大学湘雅医院老年病科老年外科 国家老年疾病临床医学研究中心(湘雅)
  • 收稿日期:2022-09-21 出版日期:2023-02-10
  • 通信作者: 彭健
  • 基金资助:
    湖南省科技厅临床医疗技术创新引导项目(2020SK5181); 湖南省卫生健康委员会临床医学研究专项课题(20201950)

Early diagnosis and screening of hepatocellular carcinoma

Chengming Ding1, Jiafeng Hou1, Guangwei Tao1   

  • Received:2022-09-21 Published:2023-02-10
引用本文:

丁成明, 侯嘉丰, 陶光伟, 齐硕, 谢翼, 冯灿, 陈振坤, 蒋心渺, 邓鑫, 彭健. 肝细胞癌早期诊断和筛查[J]. 中华肝脏外科手术学电子杂志, 2023, 12(01): 22-28.

Chengming Ding, Jiafeng Hou, Guangwei Tao. Early diagnosis and screening of hepatocellular carcinoma[J]. Chinese Journal of Hepatic Surgery(Electronic Edition), 2023, 12(01): 22-28.

原发性肝癌(肝癌)包括肝细胞癌(HCC)、肝内胆管细胞癌(ICC)和混合型3种,其中HCC占85%~90%[1]。肝癌具有较高的发病率,居全球恶性肿瘤的第6位,而中国肝癌患者约占全世界肝癌患者的50%左右,且发病率呈现不断上升趋势[2]。此外,肝癌病死率亦居高不下,其5年生存率仅为10%左右,居中国常见恶性肿瘤致死率的第2位[3]。究其原因为肝癌起病隐匿,疾病进展快,初期常很难发现,确诊时基本已发展至中晚期。实现肝癌的早期发现、精准诊断、根治性治疗,是有效提高肝癌患者5年生存率及生活质量的重要手段。本文总结和分析了近年多种HCC早期诊断方法,旨在为HCC早期诊疗提供临床依据。

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