ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ MÔ BỆNH HỌC CỦA BỆNH NHÂN UNG THƯ BIỂU MÔ TẾ BÀO GAN ĐƯỢC PHẪU THUẬT TẠI BỆNH VIỆN BỆNH NHIỆT ĐỚI TRUNG ƯƠNG

Abstract

Objectives: Describe the clinical features, paraclinical findings, and histopathological structure of patients with hepatocellular carcinoma who had surgery at the National Hospital for Tropical Diseases in 2023.

Subjects and method: A prospective cross-sectional study on 45 patients with hepatocellular carcinoma who were treated at the National Hospital for Tropical Diseases from January 2023 to October 2023.

Results: 88.9% of male patients, the mean age was 55. 86.7% of patients had a medical history of chronic hepatitis B. The main clinical features were fatigue (95.5%), anorexia (95.5%), right hypochondriac pain (57.8%), hyperpigmentation (44.4%) and vascular asterisks (33.3%). AFP and PIVKA-II values were widely variable with mean values of 39.1 ng/mL and 74.35 mAU/mL, respectively. The histopathological structure of hepatocellular carcinoma is mainly raft (80%).

Conclusions: Patients with hepatocellular carcinoma are mainly male, the mean age is 55 and the majority have a medical history of chronic hepatitis B. The main clinical features were fatigue, anorexia, and right hypochondriac pain. AFP and PIVKA-II values were widely variable. the histopathological structure is mainly raft.