It is not to later period that the hepatocarcinoma patient presents jaundice
It is reported (Reporter Li TianShu Reporter's plum One) A lot of people think the hepatocarcinoma patient once presents jaundice, has already got in the later period of hepatocarcinoma, there is no operation value again. But the intersection of Zhongshan University and the intersection of ease and celestial being Sun commemorate hospital the intersection of liver and gall and surgical the intersection of Liu Chao and Professor find, the fact is not so absolute, some early hepatocarcinoma patients will present jaundice too, call this kind of hepatocarcinoma jaundice hepatocarcinoma on clinic, but it is very apt to misdiagnose for biliary tract calculus, biliary tract hepatocarcinoma.
Mr. Shi, the pit of the stomach pains at the beginning in April of this year, more than 2 months according to stomach trouble treatment, pain has been failing to be relieved all the time. In June of this year, he begins to present jaundice, is diagnosed as biliary tract calculus in one hospital, carry on the bile duct and fetch the stone repeatedly, but been failing to fetch to all the time. Diagnosed as early jaundice hepatocarcinoma in November. Through the operation, Mr. Shi recovers and leaves hospital, in sound condition at present.
Chao Liu say hepatocarcinoma appear jaundice too loud because of cancerous swelling, oppression is in charge of or destroy the bile duct and form the cancer bolt in the bile duct boldly later period, the bile is unable to reserve, thus form obstructive jaundice. But jaundice hepatocarcinoma, tumour might not greatly, than infringe small bile duct early. Because of tumour being very little, make B to be easy to leak, examine or misdiagnose for calculus overtime. If this kind of hepatocarcinoma can be made a definite diagnosis of in early days, operation result and other early hepatocarcinoma are similar.
Liu Chao says, the incidence of jaundice hepatocarcinoma probably accounts for 10% of all hepatocarcinoma, but a very large number of patients among them are misdiagnosed. Some doctor find hepatocarcinoma patient appear jaundice, think unable to go on treating dogmatic, some patients are regarded as jaundice hepatitis or biliary tract calculus and treat repeatedly, have delayed treating time.
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