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中期肝癌

时间:2022-02-20 11:23来源:www.zljrlt.com 作者:杨宁肿瘤介入医学网
肝癌是癌症中最常见的死亡原因之一。 肝细胞癌(HCC)是最常见的肝癌类型。各种治疗方法已被批准,特别是经导管动脉化疗栓塞(TACE)方法的生存效果已在HCC治疗中广泛实现。通过正确应用TACE方法,可以在不影响肝功能的情况下获得良好的生存结果。TACE经动脉化疗
 
      肝癌是癌症中最常见的死亡原因之一。 肝细胞癌(HCC)是最常见的肝癌类型。各种治疗方法已被批准,特别是经导管动脉化疗栓塞(TACE)方法的生存效果已在HCC治疗中广泛实现。通过正确应用TACE方法,可以在不影响肝功能的情况下获得良好的生存结果。TACE经动脉化疗栓塞将缺血性坏死(AVN)的作用与在动脉栓塞影响下的局部化疗的作用相结合。这意味着介入放射科医生可以很容易地通过动脉释放抗肿瘤药物。很多临床医生选择了TACE方法来治疗肝癌。另一方面,
 
      巴塞罗那肝癌临床分组方案中的B期是许多患者面临的异质性疾病的一个敏感阶段,所以专家必须认为它是一种危险的综合征。
 
      TACE治疗仅适用于患者肝功能合适、患者肝门静脉无任何问题、患者无腹水紊乱的情况。
 
      本栏目述旨在找出TACE的明显优势,特别是通过对中期HCC,TACE的综合了解。这种治疗方法被建议作为一线治疗方法的理由。还将总结了在管理HCC疾病方面的未来概况。


       Carcinoma is a type of cancer that starts in the cells that make up the skin or the tissue lining the organs, such as the liver, or kidneys.
癌是恶性肿瘤的一种,它开始于构成皮肤或器组织的细胞,如肝脏或肾脏。
 
Like other types of cancer, carcinomas are abnormal cells that divide without control.
像其他类型的恶性肿瘤一样,癌症是一种无控制分裂的异常细胞。
 
They are able to spread to the other parts of the body, but not always.
它们能够扩散到身体的其他部位,但并非总是如此。
 
 Transarterial chemoembolization (TACE) is a particular kind of chemoembolization that is used to block the short blood vessel that supplies oxygenated blood to the liver (known as a hepatic artery) to treat its cancer.
经动脉化疗栓塞(TACE)是一种特殊的化疗栓塞方法,用于阻塞向肝脏(肝动脉)提供含氧血的小血管来治疗其癌症。
 
The early stages of liver cancer are known as hepatocellular carcinoma (HCC) that grows a multitude of blood vessels.
肝癌被称为肝细胞癌(HCC)的早期阶段,生长着大量的血管【Bray  2018】。
 
[Somehow, in most patients who suffer from HCC, the symptoms of comorbidity chronic liver disorder can be seen.
尚不知为什么,在大多数HCC患者中,可以看到共病的慢性肝病的症状。
 
 
[2] in a comprehensive study by working on the prevention of disease progression with anti-inflammatory therapy in patients with HCV reported that the expansion of the HCC disorder occurs mostly in a damaged liver.
Chang Y 等人 2020年在一项通过预防HCV患者的治疗预防疾病进展的综合研究中报道,HCC疾病的扩张主要发生在受损的肝脏。
 
 According to their reports, approximately all the patients who have a history of misuse of alcohol, inflammation of the liver, or chronic infections and also a type of fatty liver disease like steatohepatits.
根据他们的报告,大约所有有滥用酒精史、肝脏炎症、慢性感染以及脂肪性肝炎等脂肪肝病史的患者。
 Additionally, HCC disorder often relapses after initial remedy because of the neoplasm of the liver.
此外,由于肝脏肿瘤,HCC疾病经常在最初治疗后复发。
 Recent developments in imaging techniques useful in diagnosis and treatment help specialists to easily adapt radical therapeutic strategies such as radiofrequency ablation (RFA) and segmentectomy.
在诊断和治疗中有用的影像技术的发展帮助专家轻松适应根治性治疗策略,如射频消融(RFA)和节段切除术。
 As cited by Bray F et al.
如BrayF等人引用。
[1] and Chang Y et al.
[1]和ChangY等人。
[2] in patients whose curative care is exerted as a primary treatment stage, the disease will recur at a high rate because of intrahepatic metastasis and multifocal tumorigenesis.
[2]对于作为初级治疗阶段的患者,由于肝内转移和多灶性肿瘤发生,该疾病的复发率较高。
 However, in patients in whom implementation of curative care cannot be done easily, the TACE method could be performed as a main effective remedy for those who suffer from multifocal HCC.
然而,对于不能轻易实施治疗性护理的患者,TACE方法可作为多灶性HCC患者的主要有效治疗方法。

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