Later period _ symptom of symptom in hepatocarcinoma

Later period _ symptom of symptom in 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
Several more than patients have 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. 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.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.
Complication
A digestive tract bleeds and accounts for 15% of the death reason, because hepatocarcinoma is often with liver cirrhosis, portal vein high pressure, and portal vein, the intersection of liver and intravenous the intersection of cancer and bolt aggravate the intersection of door and the intersection of pulse and high pressure further, cause the intersection of esophagus and poor section often or fundus of stomach variceal to split broken to bleed. If liver cell cancer infringes the bile duct can cause the biliary tract to bleed, also shown as spittinging blood and black type. Some patients but because the intestinal mucous membrane is rotten, and ulcer, blood coagulation function obstacle added bleed extensively, massive haemorrhage can cause shock and hepatic coma.
Second, the hepatic coma (liver encephalopathy) Account for 1/3 of the death reason, it is often the not manifestation of one after all of hepatocarcinoma, bleed by digestive tract, a large number of diuretic, electrolyte disorderly and continuing and can often bring out the hepatic coma to infect etc. to send.
Third, hepatocarcinoma and tubercle break, bleed about 10% hepatocarcinoma patients to break, cause death because of cancer and tubercle, it is hepatocarcinoma and most urgent and serious complication. The necrosis liquefaction of later period of hepatocarcinoma can break spontaneously, can also break because of external force, so the tactics should be soft at the time of palpation, can't touch and press hard, cancer and tubercle break and can be limited to the liver is chartered under the membrane, have urgent sudden pain, liver increase rapidly, in can touch soft the intersection of bag and piece while being some, break, enter abdominal cavity cause acute to suffer from abdominal pain with the peritoneum irritating and soliciting while being routed. Bleed on a small quantity and is shown as the courageous and upright ascites, a large amount of bleeding can lead to the fact shock even dies rapidly. Fourth, continue the hair and is infected the primary hepatocarcinoma patient because consumes and lies in bed for a long time, resistance is weakened, it is especially apt to erupt various infection simultaneously when the leucocyte is reduced after chemotherapy or radiotherapy, such as pneumonia, intestine infecting, mould infection and septicaemia,etc..
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