Evolution of primary liver cancer radiotherapy and its research progress.docVIP

 PAGE \* MERGEFORMAT 33 Evolution of primary liver cancer radiotherapy and its research progress Abstract Full-text on the evolution of the understanding of liver cancer radiotherapy, as well as modern radiotherapy in the treatment of liver cancer again raised the status of the new concepts and new technologies are reviewed. Keywords: liver neoplasms Unresectable liver cancer tumor size often larger, multi-center cancer occurrence and growth of tumor-infiltrating violation of the portal vein to form the biological characteristics of intrahepatic metastasis, suggesting that micro-metastasis in hepatocellular widespread biological properties. LIU Zhen-yu, according to such reports 305 cases of hepatocellular carcinoma after resection specimen pathological findings: the naked eye venous infiltration group of 70 cases (23.0%), endoscopic small group of a total of 202 cases of venous infiltration, the overall infiltration rate of 66.2%, tumor greater the probability of the more invasive high [1], or even as high as 90% [2]. These tiny lesions diagnosed for the first time existence at the time, B Chao, CT or MR can not find that after treatment for liver cancer the main reason for the high relapse rate and difficulties [3]. At present only for the main damage of the liver tumor treatments, including surgery, three-dimensional conformal radiotherapy or local ablation therapy (often used TACE, followed by a percutaneous ethanol injection, and the recent application of radiofrequency ablation, focused ultrasound and argon-helium cryoablation , etc.), but the number of treatments can not eliminate small liver metastases, but also affect the important factor in the survival rate after treatment [1 ~ 3]. So far, there is no proven unresectable liver cancer effective conventional treatment, the overall treatment effect is not satisfactory [3]. To this end, Zheng, to address, including the eradication of the main tumor and intrahepatic metastasis sub