Clinical manifestation _ symptom of hepatocarcinoma

Clinical manifestation _ symptom of hepatocarcinoma
Primary hepatocarcinoma arises the disease is hidden, lack typical symptom in early days. The intersection of patient and hepatocarcinoma that have even, already for later period, but symptom is not yet obvious. There can not be any symptom and physical sign in the early case by AFP general survey detection, are called inferior clinical hepatocarcinoma. In later period in there is symptom and go to a doctor by oneself a patient belong to more, often have symptoms such as paining, appetite failing, weak, becoming thin and hepatomegaly in liver districts,etc., its main characteristic is as follows: 1.The liver district pains More than half patient has liver districts to pain, sore spot is equivalent to the position of tumour, present more bloated pains or dull pain of continuation. Liver it aches to be because tumour increase fast, liver make membrane pull, cause. If pathological change infringes the diaphragm, aching can involve the right shoulder. When cancer and tubercle break, can cause the sharp pain suddenly, and there are peritoneum inflammation and physical sign. If the bleeding amount is great, cause fainting and shock. 2.Hepatomegaly Liver of the patients of more than about 90% is swelling, and it is swelling, tough to present the going on, the manifestation is full of bumps and holes, have tubercle not of uniform size or huge one, the edge is blunt but not neat, often have tenderness at various degrees. Hepatocarcinoma stresses when under the right costal arch or ensiform process is left, the upper abdomen can present the 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 artery and the intersection of blood vessel and abundant and the intersection of Yu and song of hepatocarcinoma, or because enormous cancerous swelling oppress the intersection of liver and artery or belly aorta, the artery internal diameter becomes narrow suddenly, can hear sometimes that dries one kind of blood vessel noises in pressing close to the belly wall of tumour. 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 Can have splenomegaly, ascites, intravenous collateral circulation to take shape etc. and behave with the hepatocarcinoma patient of liver cirrhosis and portal vein high pressure. Ascites increase quickly, leak liquid generally. , result from the reason that the peritoneum shifts cancer occasionally. 5.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 hepatopathy patients, there is manifestation of special whole body, are called the companion cancer syndrome, with hypoglycemia and erythrocyte increase disease to be relatively common, other a rare one have high blood calcium, hyperlipemia, kinds of cancer,etc.. 6.Shift symptom of cooking stove Shift in places such as the lung, bone, thorax,etc. such as happening, can produce corresponding symptom. The thorax shift to see more, can have thoraxes to accumulate the liquid to solicit with the right side. Skeleton or backbone shift, can have some tenderness or nerve pigeonhole into symptom, shift cancer, can have nerve orientate physical sign in the cranium.
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