肝癌治疗方法的合理选择.pdfVIP

肿瘤防治杂志 2005 年 3 月第 12 卷第 6 期 　　CH IN J CAN CER PR EV TR EA T ,March 2005 ,Vol . 12 　No . 6 4·71 · 综述 ·讲座 肝癌治疗方法的合理选择 马力文 , 　贾廷珍 北京大学第三医院肿瘤治疗中心 ,北京 100083 Optimal mana gement for hep ato cellular carcinoma M A L iw en , J I A Ti ngz hen Cance r Cente r of Pek i ng Uni ve rs i ty T hi r d H osp i t al , B eij i ng 100083 , P. R . Chi na ( ( ) 【摘要】　肝细胞性肝癌 hepatocellular carcino [ ABSTRACT] 　Hep atocellular carcinoma HCC i s one of t he ) ma , HCC 是一种常见的恶性肿瘤 。除少数可 commonest malignancies worldwide . Excep t for pot entially cura 以手术治疗的早期肝癌外 ,对进展期的肝癌仍 tive sur gery for earlier st age HCC , t here i s still no adequat e t hera 然没有合适的治疗方法 。然而近几年出现了 p y for advanced HCC. However , t here are several new t herap eu 几种新的治疗手段 ,可能将肝癌的治疗带入一 tics t hat might help to get into novel p eriod in HCC recently . The 个新阶段 。综述了 HCC 的不同治疗方法的优 article elaborat es on t he different remedies for HCC and t heir ad 劣热。如何按照肿瘤分期选择最佳的治疗方 vant ages and di sadvant ages. How to accor ding to t he st age to 法是提高疗效的关键 。早期肝癌应手术切除, choo se t he best adequat e t herap y i s t he key of imp rovement effi 局限性伴有肝硬化的肝癌适合于肝移值 ,不宜 ciency . Resectional t herap y i s u sually emp loyed for early st age 手术切除的肝癌可选择经皮穿刺乙醇泊主射 HCC. Local HCC wit h cirrho si s should be t reat ed wit h liver t ran s ( ) ( ) ( ) PEI 、经肝动脉栓塞 TA E 、射频消融 RF 等 plantion . P EI , TA E , R E are adequat e t herapies for unresection 治疗方法 ,全身化疗适用于有门脉系统侵犯的