Clinical feature _ symptom of the old hepatocarcinoma
The clinical manifestation of the old hepatocarcinoma:
(1)The liver district pains: More than half patient has liver districts to pain, it is the important symptom of a disease that the liver aches, present more bloated pains or dull pain of continuation, it is equivalent to the position of tumour. The liver aches because tumour increases fast, straining some liver wraps up due to membrane, such as infringing the diaphragm, aching can involve the right shoulder, for instance, tumour grows slowly, can be totally painless or only have and slight and dull pain. When cancer and tubercle on the surface of liver break, cancer tissue and blood of necrosis flow into the abdominal cavity, can cause the sharp pain suddenly, began from the liver district rapidly to be all over the place to prolong to the whole belly, symptom and physical sign of peritonitis emerged. If the bleeding amount is great, can cause fainting and shock.
(2)Hepatomegaly: Hepatomegaly is presented the going on, tough, the surface is full of bumps and holes, have not of uniform size tubercle or huge one, the edge is blunt but not neat, often have tenderness at various degrees. Hepatocarcinoma stresses under the right costal arch or when ensiform process is left, the upper abdomen can present part and rise or energetic, if cancerous swelling lie the diaphragm, show as diaphragm raise and liver bottom flange very non- swelling mainly. Because of the intersection of hepatocarcinoma and the intersection of artery and the intersection of blood vessel and abundant and the intersection of Yu and song, thick artery attenuate suddenly, or because enormous cancerous swelling oppress the intersection of liver and artery or belly aorta, can hear on the corresponding position of the belly that dries one kind of blood vessel noises sometimes. Cancer and tubercle lying in the surface and is close to the bottom flange of liver are aptest to touch to, go to a doctor by patient find sometimes.
(3)Jaundice: Generally appear in later period, can be caused by that damage the hepatocyte, or because the cancer piece oppresses or infringes the bile duct near the liver door, or it causes the biliary tract to obstruct that cancer tissue and clot are lossed.
(4)Liver cirrhosis sign: Hepatocarcinoma can have splenomegaly, ascites, intravenous the intersection of side shoot and cycle take shape etc. and behave with the intersection of liver cirrhosis and the intersection of portal vein and high pressure person. Ascites increase quickly, leak liquid generally. The courageous and upright ascites is caused by that cancerous swelling infringes the liver to wrap up the membrane or break routedly in the abdominal cavity more, result from the reason that the peritoneum shifts cancer occasionally.
(5)The whole body manifestation of malignant tumour: There are going on becoming thin, generating heat, losing the appetite, weak, malnutritive and cachexia,etc.s. A few the intersection of hepatocarcinoma and patient have special the intersection of whole body and behavior, with hypoglycemia and erythrocyte increase disease to be relatively more common, other having high blood calcium, hyperlipemia,etc.. Patient with this kind of behavior, should watch out for the existence of hepatocarcinoma.
(6)Shift symptom of cooking stove: Shift in places such as the lung, bone, brain,etc. such as happening, can produce corresponding symptom. The thorax shift to see more, can have water of chest to solicit with the right side. The skeleton or backbone is shifted there can be some tenderness or nerve to oppress symptom. There can be nerve to orient physical sign to shift in the cranium.
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