Organization type _ general knowledge of hepatocarcinoma
Organize the type
(1) The source of the liver cancer cell: HCC may come from the canceration of the hepatocyte, bile duct cell cancer comes from the cell canceration of bile duct.
(2) Great bodily form attitude and classification of hepatocarcinoma
1. Filling the air cancer and tubercle are little, present filling the air distribution, it is apt to obscure with cirrhosis.
2. The bulk type diameter of cancerous swelling is greater than 5cm, the persons who are among them is greater than 10cm are a huge one type.
(1)Single piece type: Single cancer is clear at piece border or abnormality, wrap up the membrane intactly or incompletely.
(2)The one merging type: It is adjacent cancerous swelling is in bulk without being merged,have scattered livers around often in not organizing in satellite cancer tubercle.
(3)Polylith type: Or merge a cancerous swelling to form by a plurality of form pieces.
3. The tubercle type tubercle diameter of cancer is smaller than 5cm. It is as follows, to be common and inferior type
(1)Single tubercle type: Single cancer is clear that there is membrane of bag, the common and small satellite tubercle in the perimeter at tubercle border.
(2)The tubercle merging type: The abnormality of border, it is here that satellite tubercle around breaks up.
(3)Many tubercles type: Disperse in the liver, know abnormality at the border.
4. Little cancer type single the intersection of cancer and the intersection of tubercle and diameter smaller than 3cm, adjacent two the intersection of cancer and the intersection of tubercle and diameter and smaller than 3cm, the border is clear, often have membrane of obvious bag.
Bile duct cell cancer is divided into filling the air type, bulk type and tubercle type too in principle, with the single piece type in order to see more. Tumour have more the intersection of bag and membrane, tumour the fibrous connective tissue is abundant in the body, the quality is hard, the liver organization around does not have more cirrhosis.
(3) Histologic shape and classification of hepatocarcinoma
According to the cell shape characteristic of HCC: It split up it is higher HCC cell organization last roof beam or if you can't last form, arrange,among quality is little, the blood sinus is abundant, a little is withered to deny cells. Called roof beam cell cancer of the liver. One of cracks is taken the form of and asked for the strip to expand while seeing cancer organized in one kind of cancers of liver gland. Liver entity type cancer, unless there are abundant on cancer cell, it is arrange to fill the air,it see blood sinus or among quality. Liver cirrhosis type cancer, the cancer cell is relatively small, the quality among the fibers is abundant, it is vesicular that the cancer tissue is divided into the irregular thin roof beam or gland, there is no basilar membrane to round, there can also be the above-mentioned manifestation while causing tumour and necrosis in radiotherapy or chemotherapy. Low splitting up cancer, the cancer cell is special-shaped or takes the form of shuttleless loom, is breaking up and arranging, the blood sinus is not obvious or arranges abnormality. Bile duct cell cancer reveals the cancer structure of more typical gland, can form the gland tube, bag or papilla.
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