在幼儿中Нepatoblastoma

I. N. Cherezova, N. Gabitova, I. V. Osipova
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引用次数: 0

摘要

肝母细胞瘤是一种常见于0 ~ 4岁儿童的原发性恶性肿瘤。在肝脏肿瘤的结构中,病理占80%,近30年来以每年4-5%的速度稳步增长。肝母细胞瘤发展的危险因素包括深度早产儿存活率的增加、低出生体重早产儿强化治疗相关的氧化组织损伤和体外受精。本病无特异性主诉,临床表现特征性。肝母细胞瘤的初期表现往往隐藏在各种疾病的伪装之下。伴随着当地儿科医生缺乏“肿瘤警觉性”,这决定了肝脏恶性肿瘤的晚期诊断。本文介绍了近十年来儿童肝母细胞瘤病例的分析。指出了本病在儿童早期的主要临床表现。显示了现代诊断和治疗儿童肝脏恶性肿瘤方法的有效性。文中给出了一个成功治疗此病的临床实例。
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Нepatoblastoma in young children
Hepatoblastoma is a common primary malignant tumor in children aged 0 to 4 years. In the structure of liver neoplasms, the pathology occupies 80% and has been steadily growing over the past 30 years with an annual increase of 4–5%. Risk factors for the development of hepatoblastoma include an increase in the survival rate of deeply premature babies, oxidative tissue damage associated with intensive therapy of low birth weight premature babies, and IVF. The disease has no specific complaints and characteristic clinical manifestations. The initial manifestations of hepatoblastoma are often hidden under a variety of mask diseases. It is accompanied by the absence of «oncological alertness» of local pediatricians, which determines the late diagnosis of the liver malignant neoplasm. The article presents an analysis of hepatoblastoma cases in young children over a ten-year period. The main initial clinical manifestations of the disease in early children are indicated. The effectiveness of modern methods of diagnosis and therapy of the liver malignant neoplasms in children is shown. A clinical example of successful treatment of this disease is given.
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