肝癌治疗方法的合理选择.pdf

× ¬
2 2
2
2
2
2
2
2
2
2
肿瘤防治杂志 2005 年 3 月第 12 卷第 6 期 CHIN J CANCER PREV TREA T ,March 2005 ,Vol. 12 No. 6 · 174 ·
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 management for hepatocellular carcinoma
MA L i wen , J IA Ting z hen
Cancer Center of Peking Unive2rsity T hi rd Hos pital , Bei j ing 100083 , P. R. China
【摘要】肝细胞性肝癌(hepatocellular carcino [ ABSTRACT] Hepatocellular carcinoma ( HCC) is one of the
ma , HCC)是一种常见的恶性肿瘤。monest malignancies worldwide. Except for potentially cura
以手术治疗的早期肝癌外,对进展期的肝癌仍 tive surgery for earlier stage HCC , there is still no adequate thera
然没有合适的治疗方法。然而近几年出现了 py for advanced HCC. However , there are several new therapeu
几种新的治疗手段,可能将肝癌的治疗带入一 tics that might help to get into novel period in HCC recently. The
个新阶段。综述了 HCC 的不同治疗方法的优 article elaborates on the different remedies for HCC and their ad
劣热。如何按照肿瘤分期选择最佳的治疗方 vantages and disadvantages. How to according to the stage to
法是提高疗效的关键。早期肝癌应手术切除, choose the best adequate therapy is the key of improvement effi
局限性伴有肝硬化的肝癌适合于肝移值,不宜 ciency. Resectional therapy is usually employed for early stage
手术切除的肝癌可选择经皮穿刺乙醇泊主射 HCC. Local HCC with cirrhosis should be treated with liver trans
(PEI) 、经肝动脉栓塞( TAE) 、射频消融(RF) 等 plantion. PEI , TA E , RE are adequate therapies for unresection
治疗方法,全身化疗适用于有门脉系统侵犯的 HCC. System chemotherapy should be u