肝(gan)癌中(zhong)晚期患(huan)者(zhe)(zhe)的肝(gan)區(qu)疼(teng)痛(tong)(tong)一般位于(yu)右肋部(bu)(bu)(bu)或(huo)劍突下，疼(teng)痛(tong)(tong)性(xing)質則多以持續性(xing)隱痛(tong)(tong)、鈍痛(tong)(tong)或(huo)刺痛(tong)(tong)為(wei)(wei)主(zhu)，也有少部(bu)(bu)(bu)分(fen)患(huan)者(zhe)(zhe)的疼(teng)痛(tong)(tong)可出(chu)現(xian)(xian)(xian)(xian)(xian)特(te)殊的表現(xian)(xian)(xian)(xian)(xian)，肝(gan)癌患(huan)者(zhe)(zhe)其他部(bu)(bu)(bu)位也可能(neng)出(chu)現(xian)(xian)(xian)(xian)(xian)牽(qian)涉痛(tong)(tong)，部(bu)(bu)(bu)分(fen)患(huan)者(zhe)(zhe)的疼(teng)痛(tong)(tong)區(qu)域位于(yu)中(zhong)上(shang)腹，多為(wei)(wei)多為(wei)(wei)左葉肝(gan)癌所致，但(dan)有時(shi)會被誤診為(wei)(wei)胃病而耽誤治療，有的患(huan)者(zhe)(zhe)可表現(xian)(xian)(xian)(xian)(xian)為(wei)(wei)右肩(jian)(jian)疼(teng)痛(tong)(tong)，臨(lin)床(chuang)上(shang)多見于(yu)右葉靠近膈肌的腫(zhong)瘤，因(yin)其累及(ji)膈肌而引(yin)起右肩(jian)(jian)的牽(qian)涉痛(tong)(tong)，此時(shi)易被誤診為(wei)(wei)肩(jian)(jian)周炎。肝(gan)癌轉(zhuan)(zhuan)(zhuan)移(yi)(yi)到(dao)其他部(bu)(bu)(bu)位會出(chu)現(xian)(xian)(xian)(xian)(xian)轉(zhuan)(zhuan)(zhuan)移(yi)(yi)灶癥(zheng)狀，轉(zhuan)(zhuan)(zhuan)移(yi)(yi)到(dao)肺部(bu)(bu)(bu)可出(chu)現(xian)(xian)(xian)(xian)(xian)胸(xiong)痛(tong)(tong)；轉(zhuan)(zhuan)(zhuan)移(yi)(yi)到(dao)骨骼(ge)可出(chu)現(xian)(xian)(xian)(xian)(xian)骨痛(tong)(tong)等，因(yin)此肝(gan)癌患(huan)者(zhe)(zhe)出(chu)現(xian)(xian)(xian)(xian)(xian)胸(xiong)痛(tong)(tong)或(huo)者(zhe)(zhe)骨痛(tong)(tong)等時(shi)，應該考慮到(dao)是肝(gan)癌轉(zhuan)(zhuan)(zhuan)移(yi)(yi)導(dao)致。

　　突發性肝臟劇烈疼痛

　　臨床上少數患者可表現為突發的肝區劇烈疼痛，多由位于肝臟表面的癌結節破裂出血所致，如果患者同時伴有頭暈、眼花、心慌、血壓下降表現，大多預示著癌結節破裂并發嚴重的內出血，如遇到這種情況應及時進行緊急搶救。