Comparison of liver cancer onset occult, early generally do not have any symptoms, when patients with obvious clinical symptoms, the condition is often already a part of middle and late. Liver cancer in his liver pain symptom is most common, followed by the abdominal mass. Some patients also have cirrhosis of the liver showed a number of complications, such as melena, hematemesis. Jaundice. A small number of patients with symptoms caused by metastases from person to person homes, many of these symptoms are not unique. The main purpose of the following are some common symptoms of liver cancer to make an introduction.
Liver pain
The vast majority of patients with advanced hepatocellular carcinoma with liver pain as the first symptom, the incidence of over 50%. Liver pain usually located in departments or Xiphoid Youlei, the pain, the nature of intermittent or persistent pain. Dull pain or tingling, pain, some time ago, the patient can feel the right upper quadrant abdominal discomfort. Pain can be when light weight or short-term self-mitigation. The main reason is the pain resulting from cancer increases rapidly, oppression, the liver capsule, resulting in pulling pain, can also be stimulated by tumor necrosis caused by the liver capsule.
A small number of patients, either spontaneously or in the liver after the sudden appearance of liver puncture severe pain, mostly due to the surface of cancer nodules in the liver rupture caused by bleeding. If accompanied by hypotension, shock performance, abdominal puncture with bloody fluid, then nodules, bleeding severely. In such cases, the need for emergency rescue. Associated with the absence of such symptoms, pain and more limited, it indicates that in the liver subcapsular hemorrhage. Pain may be due to the site of tumor growth varies, located in the left lobe tumor, a common cause of abdominal pain; in the right lobe of the tumor, the pain in the right hypochondrium; tumor involving the diaphragm, the pain and radiation to the right shoulder or right back, easily mistaken for shoulder arthritis; tumors were located in right lobe of the posterior segment, sometimes can cause low back pain; tumors were located in liver parenchyma deep and generally very little pain.
Gastrointestinal symptoms
Loss of appetite, abdominal fullness after meals. Warm gas, indigestion, nausea and other gastrointestinal symptoms are common liver cancer, of which the most common loss of appetite and abdominal distension. Diarrhea was also more common gastrointestinal symptoms of liver cancer at home and abroad have reported higher incidence, easily mistaken for chronic enteritis. Portal vein or hepatic vein thrombosis caused by portal hypertension and intestinal disorders can cause abdominal distension, increased frequency of stool, abdominal distention due to ascites can be caused. Gastrointestinal disorders can also lead to indigestion, warm gas, nausea and other symptoms.
Fever
A significant portion of liver cancer patients will appear sweating and fever. Most low-grade fever as the fever, a small number of patients for fever, at 39 ℃ above, is generally not accompanied by chills. Liver cancer fever mostly hot, it is because after the release of tumor necrosis pyrogen into the blood circulation caused. Cancer patients due to low resistance, it is easy to infection can include fever, fever and liver cancer is sometimes difficult to distinguish, and observe the required combination of blood, as in order to determine the effectiveness of antibiotic therapy.
Weak thin
Patients with liver cancer is more often than other cancer patients a sense of fatigue, this and similar patients with chronic hepatitis. Unexplained fatigue, probably due to digestive disorders, nutrition and malabsorption lead to an energy deficit, or liver cell damage, liver function declined, making metabolic disorder, some toxins can not be inactivated in time, or because of necrosis of tumor tissue to release toxic substances. Weight loss is also common symptoms of patients with liver cancer, is due to impaired liver function. Decrease in digestion and absorption. As the disease progresses, weight loss to a degree aggravated when severe cachexia.
Lower extremity edema
Ascites in patients with liver cancer often have lower extremity edema, light happen in the ankle, severe cases can spread to the entire lower extremity. Some have been seen clinically in patients with a high degree of lower extremity edema, water, fluid leaking from the thigh skin. Is mainly due to lower extremity edema caused by ascites or lower extremity venous tumor thrombus obstruction of oppression, so that venous obstruction. Mild edema can also be caused by low serum albumin.
Bleeding tendency
Patients with liver cancer often have bleeding gums, subcutaneous ecchymosis and other bleeding tendencies, mainly due to impaired liver function, blood coagulation dysfunction caused by liver cirrhosis it is especially prevalent in patients. Gastrointestinal bleeding is more common, mainly due to portal hypertension caused due to esophageal varices. In fact, lead to liver cancer in patients with gastrointestinal bleeding is the main reason of death.
2009年9月18日星期五
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