Which are symptom of hepatocarcinoma? 's symptom
Hepatocarcinoma is too early to generally have obvious symptom, the patient is difficult to perceive, employ AFP and B type to exceed, check, find hepatocarcinoma accidentally in hepatopathy follows up a case by regular visits to or in physical examination general survey more, the patient has no symptom at this moment, the physical examination also lacks the physical sign of tumour, this issue call inferior clinical hepatocarcinoma as. Once appear in symptom and later period while coming to its course of disease of the clients to mostly already enter. Hepatocarcinoma of different stages, its clinical manifestation has obvious difference.
It has a clinical symptom of characteristic nature most that the symptom liver of hepatocarcinoma aches, bes weak, receives difference, becomes thin.
1.The liver district pains: The most common, intermittent continuation, dull pain or bloated pain, grown to make the liver wrap up the membrane and tighten rapidly by cancer. Tumour infringes the skin of diaphragm, pain can be radiated and carried to right shouldered or right. Tumour growing after right can cause the right waist to pain. Send in violent abdominal pain suddenly and peritoneum stimulate solicit brief cancer on the intersection of tubercle and the intersection of bag and membrane, bleed or not to abdominal cavity broken and routedding.
2.Digestive tract symptom: The stomach receives failing, indigestion, disgusting and vomiting and suffering from diarrhoea etc. because it is easy to be ignored because of lacking specificity.
3.Weak, become thin, whole body is weak. A few patients are very cachectic in shape in later period.
4.Generate heat: It is the low-heat generally, up to over 39 occasionally, take the form of low-heat or one type hyperpyrexia of speeding continuously or in the afternoons. It relates to the fact that the necrosis product of cancerous swelling is absorbed to generate heat. Cancerous swelling oppresses or infringes the bile duct and erupts the biliary tract simultaneously to infect.
5.Shift symptom of cooking stove: There are corresponding symptoms in the place where tumour shifts, symptom becomes of finding hepatocarcinoma to begin to show sometimes. Can be caused and coughed to spit blood to the lung such as shifting, the pleura can cause chest aching and courageous and upright chest water while shifting. The intersection of cancer and the intersection of bolt and the intersection of thromboembolism and the intersection of lung and artery or take place piece, can cause lung block up, can take place suddenly serious dyspnea and chest ache. The cancer bolt blocks the lower vena cava, can present serious edema of the lower extremities, even blood pressure drops; Blocking the liver vein can present Budd-Chiari syndrome, can also present the lower extremities edema. It causes some pain, or pathology fracture to the bone to shift. It can cause some pain and paraplegia etc. to transfer to the backbone or oppress the spinal nerve. Can present corresponding localization symptom and physical sign to shift in the cranium, but unexpected death that the inner high pressure of cranium can also cause brain hernia.
6.Other whole body symptoms: Cancerous swelling one's own metabolic disorder or cancer organize organism take place various endocrine or disease group of supersession that influence cause call that companion's cancer syndrome, can be prior to symptom of hepatocarcinoma sometimes. The common one is as follows,
Spontaneous hypoglycemia: 10- 30% patient can appear, can malposition secrete insulin or the intersection of insulin and kinds of material because of hepatocyte; Or tumour inhibits insulinase or secretes 's cells of a kind of Langerhans' islits to stimulate the factor or glycogenic to store too many; Also can consume glucose due to too much by the intersection of hepatocarcinoma and organization. The serious one of this disease can cause going into a coma, shock to cause the death, judge correctly and deal with and can save patients and avoid the death to the ill in time.
Erythrocyte increase disease: 2- 10% of the patients can happen, may be that it is caused that the erythropoietin increases while circulating.
The other rare one still has high lipoprotein blood diseases: The intersection of hypercalcemia and disease, a kind of cancer syndrome, sex early period and gonadotropin secrete syndrome, skin porphyrin and unusual fibrinogen blood disease etc., it is closed that the unusual albumen formating, malposition endocrine and porphyrin supersession that may be organized with hepatocarcinoma are disorderly and relevant.
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Thursday, February 28, 2013
Credit type _'s general knowledge of organization of hepatocarcinoma
Credit type _'s general knowledge of organization of hepatocarcinoma
Happen and can divide hepatocarcinoma into liver cell cancer, bile duct epithelial cancer, mixing three big classes of hepatocarcinoma according to the tissue.
(1)Liver cell cancer: The cancer cell originated from liver essence cells. Differentiate the better ones, the cancer cell is similar to the hepatocyte, the person who splits up difference, the different type sex of cancer cell is obvious, multilateral in shape, the thick liquid of afterbirth is abundant, take the form of particle, obviously have a liking for acidly and dye, can see the bile blob sometimes, nucleus large to dye deeply, it is obvious much nuclear fission, cancer cell arrange take the form of pieces of form or nest Suo, the blood sinus is abundant during that time, there are no other qualities. This type is the most common, account for 80%- 90% of hepatocarcinoma.
(2)Bile duct epithelial cancer: The cancer cell originated from the cover on the bile duct in the liver. Its institutional framework is mostly gland cancers or simple cancers. The cancer cell is relatively small, the thick liquid of afterbirth is clear and transparent, there is not bile in the thick liquid of afterbirth, form gland not of uniform size, among quality many blood little in sinus. This type is relatively rare.
(3)Hybrid hepatocarcinoma: Cancer has both liver cell cancer and cell cancer structure of bile duct while organizing. This type is the most rare. In addition find, have some the intersection of type and hepatocarcinoma rarely also in recent years, such as transparent cell type, big and small afterbirth type, hardening type, fibrous plate layer type. The hepatocarcinoma prognosis of these types is better.
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Happen and can divide hepatocarcinoma into liver cell cancer, bile duct epithelial cancer, mixing three big classes of hepatocarcinoma according to the tissue.
(1)Liver cell cancer: The cancer cell originated from liver essence cells. Differentiate the better ones, the cancer cell is similar to the hepatocyte, the person who splits up difference, the different type sex of cancer cell is obvious, multilateral in shape, the thick liquid of afterbirth is abundant, take the form of particle, obviously have a liking for acidly and dye, can see the bile blob sometimes, nucleus large to dye deeply, it is obvious much nuclear fission, cancer cell arrange take the form of pieces of form or nest Suo, the blood sinus is abundant during that time, there are no other qualities. This type is the most common, account for 80%- 90% of hepatocarcinoma.
(2)Bile duct epithelial cancer: The cancer cell originated from the cover on the bile duct in the liver. Its institutional framework is mostly gland cancers or simple cancers. The cancer cell is relatively small, the thick liquid of afterbirth is clear and transparent, there is not bile in the thick liquid of afterbirth, form gland not of uniform size, among quality many blood little in sinus. This type is relatively rare.
(3)Hybrid hepatocarcinoma: Cancer has both liver cell cancer and cell cancer structure of bile duct while organizing. This type is the most rare. In addition find, have some the intersection of type and hepatocarcinoma rarely also in recent years, such as transparent cell type, big and small afterbirth type, hardening type, fibrous plate layer type. The hepatocarcinoma prognosis of these types is better.
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The chief culprit of hepatocarcinoma gets drunk and drinks the contaminated water to have something to do with smoking
The chief culprit of hepatocarcinoma gets drunk and drinks the contaminated water to have something to do with smoking
March 18 is " The whole country loves liver day " ,According to revealing to 1000 Chinese interviewee's investigations, compatriot's knowledge of hepatocarcinoma is very scarce, 1/3 of the interviewees can not tell any dangerous factor of hepatocarcinoma. The expert reminds citizens, hepatitis B, third liver, gets drunk, smoke, fat, diabetes, fatty liver, drink the contaminated water and contact yellow aspergillus toxin, dangerous factor of leading to the fact hepatocarcinoma happens. Hepatocarcinoma is known as " King in cancer " ,Its malignant intensity is high, fast growing, survive naturally time is generally less than half a year, accounts for the second in the mortality of malignant tumour of our country. In recent years, Chinese it suffers from hepatocarcinoma to be high to take place age, advance 30-60 year old to by 40-60 year old in the past, relate to bad life styles of young people. The symptom physical sign that early hepatocarcinoma can not be specific, are shown as more the body is tired and loses the appetite.
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March 18 is " The whole country loves liver day " ,According to revealing to 1000 Chinese interviewee's investigations, compatriot's knowledge of hepatocarcinoma is very scarce, 1/3 of the interviewees can not tell any dangerous factor of hepatocarcinoma. The expert reminds citizens, hepatitis B, third liver, gets drunk, smoke, fat, diabetes, fatty liver, drink the contaminated water and contact yellow aspergillus toxin, dangerous factor of leading to the fact hepatocarcinoma happens. Hepatocarcinoma is known as " King in cancer " ,Its malignant intensity is high, fast growing, survive naturally time is generally less than half a year, accounts for the second in the mortality of malignant tumour of our country. In recent years, Chinese it suffers from hepatocarcinoma to be high to take place age, advance 30-60 year old to by 40-60 year old in the past, relate to bad life styles of young people. The symptom physical sign that early hepatocarcinoma can not be specific, are shown as more the body is tired and loses the appetite.
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's general knowledge where is the misfortune origin of hepatocarcinoma
's general knowledge where is the misfortune origin of hepatocarcinoma
Virus difficult to remove because of hepatitis B, the intersection of course of disease and over 6 months, become chronic hepatitis. It is estimated, our country probably has about 30 million persons of chronic hepatitis B of disease now at present. The danger one of the chronic hepatitis can pass hepatitis B to others through the blood, second, will stimulate the liver fiber. According to observation, chronic about hepatitis 65% have fiber melt slightly, middle severe chronic hepatitis 100% have fiber take, the result can form liver cirrhosis, does not for instance treat and enable its reversion, ascites, esophagus will be variceal to break complications such as bleeding, liver encephalopathy,etc. to develop into later period.
About 40% will form liver cirrhosis in chronic hepatitis. Antiviral treatment, in some effective patient, can inhibit the duplication of the virus, thus reduce inflammation, lighten the fiber. But on the other hand, inflammation control often, fiber take, also will develop and extend by oneself, therefore should cause the attention to fiber treatment further. The chronic hepatitis patient often has symptom, often have repeated and abnormal liver function too, should if you can't send for a doctor, treat,is it most patient can condition steady,too can keep by certain ability to work.
It was of great number that our country drank, the persons who especially drink in a large amount increase day by day. It will cause the injury to the liver to drink for a long time. Should not drink to especially already to hepatitis B people suffered from, otherwise will aggravate the liver to damage, it is apt to cause liver cirrhosis.
According to studying, emergence and B-mode hepatitis virus of the primary hepatocarcinoma of our country infect close relation, therefore prevent hepatitis B actively, it is very important to preventing primary hepatocarcinoma.
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Virus difficult to remove because of hepatitis B, the intersection of course of disease and over 6 months, become chronic hepatitis. It is estimated, our country probably has about 30 million persons of chronic hepatitis B of disease now at present. The danger one of the chronic hepatitis can pass hepatitis B to others through the blood, second, will stimulate the liver fiber. According to observation, chronic about hepatitis 65% have fiber melt slightly, middle severe chronic hepatitis 100% have fiber take, the result can form liver cirrhosis, does not for instance treat and enable its reversion, ascites, esophagus will be variceal to break complications such as bleeding, liver encephalopathy,etc. to develop into later period.
About 40% will form liver cirrhosis in chronic hepatitis. Antiviral treatment, in some effective patient, can inhibit the duplication of the virus, thus reduce inflammation, lighten the fiber. But on the other hand, inflammation control often, fiber take, also will develop and extend by oneself, therefore should cause the attention to fiber treatment further. The chronic hepatitis patient often has symptom, often have repeated and abnormal liver function too, should if you can't send for a doctor, treat,is it most patient can condition steady,too can keep by certain ability to work.
It was of great number that our country drank, the persons who especially drink in a large amount increase day by day. It will cause the injury to the liver to drink for a long time. Should not drink to especially already to hepatitis B people suffered from, otherwise will aggravate the liver to damage, it is apt to cause liver cirrhosis.
According to studying, emergence and B-mode hepatitis virus of the primary hepatocarcinoma of our country infect close relation, therefore prevent hepatitis B actively, it is very important to preventing primary hepatocarcinoma.
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's general knowledge of seed of trouble of hepatocarcinoma
's general knowledge of seed of trouble of hepatocarcinoma
Virus difficult to remove because of hepatitis B, the intersection of course of disease and over 6 months, become chronic hepatitis. It is estimated, our country probably has about 30 million persons of chronic hepatitis B of disease now at present. The danger one of the chronic hepatitis can pass hepatitis B to others through the blood, second, will stimulate the liver fiber. According to observation, chronic about hepatitis 65% have fiber melt slightly, middle severe chronic hepatitis 100% have fiber take, the result can form liver cirrhosis, does not for instance treat and enable its reversion, ascites, esophagus will be variceal to break complications such as bleeding, liver encephalopathy,etc. to develop into later period. About 40% will form liver cirrhosis in chronic hepatitis. Antiviral treatment, in some effective patient, can inhibit the duplication of the virus, thus reduce inflammation, lighten the fiber. But on the other hand, inflammation control often, fiber take, also will develop and extend by oneself, therefore should cause the attention to fiber treatment further. The chronic hepatitis patient often has symptom, often have repeated and abnormal liver function too, should if you can't send for a doctor, treat,is it most patient can condition steady,too can keep by certain ability to work. It was of great number that our country drank, the persons who especially drink in a large amount increase day by day. It will cause the injury to the liver to drink for a long time. Should not drink to especially already to hepatitis B people suffered from, otherwise will aggravate the liver to damage, it is apt to cause liver cirrhosis. According to studying, emergence and B-mode hepatitis virus of the primary hepatocarcinoma of our country infect close relation, therefore prevent hepatitis B actively, it is very important to preventing primary hepatocarcinoma.
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Virus difficult to remove because of hepatitis B, the intersection of course of disease and over 6 months, become chronic hepatitis. It is estimated, our country probably has about 30 million persons of chronic hepatitis B of disease now at present. The danger one of the chronic hepatitis can pass hepatitis B to others through the blood, second, will stimulate the liver fiber. According to observation, chronic about hepatitis 65% have fiber melt slightly, middle severe chronic hepatitis 100% have fiber take, the result can form liver cirrhosis, does not for instance treat and enable its reversion, ascites, esophagus will be variceal to break complications such as bleeding, liver encephalopathy,etc. to develop into later period. About 40% will form liver cirrhosis in chronic hepatitis. Antiviral treatment, in some effective patient, can inhibit the duplication of the virus, thus reduce inflammation, lighten the fiber. But on the other hand, inflammation control often, fiber take, also will develop and extend by oneself, therefore should cause the attention to fiber treatment further. The chronic hepatitis patient often has symptom, often have repeated and abnormal liver function too, should if you can't send for a doctor, treat,is it most patient can condition steady,too can keep by certain ability to work. It was of great number that our country drank, the persons who especially drink in a large amount increase day by day. It will cause the injury to the liver to drink for a long time. Should not drink to especially already to hepatitis B people suffered from, otherwise will aggravate the liver to damage, it is apt to cause liver cirrhosis. According to studying, emergence and B-mode hepatitis virus of the primary hepatocarcinoma of our country infect close relation, therefore prevent hepatitis B actively, it is very important to preventing primary hepatocarcinoma.
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Cause of disease and treating of hepatocarcinoma
Cause of disease and treating of hepatocarcinoma
Hepatocarcinoma is one of the more common malignant tumour, see more the coastal area in the southeast in our country. The statistics show, the death toll of hepatocarcinoma of our country accounts for 5% of the death toll of hepatocarcinoma of whole world, the factor that closely related with with hepatocarcinoma has B-mode hepatitis viruses (HBV) Infecting, aflatoxin and drinking the water pollution,etc.. The traditional Chinese medicine one " The ruffian is angry " , " Jia " , " Jia is yellow " Similar to hepatocarcinoma. Causing the cause of disease of these diseases to be ill machine, mainly receive the cold, wet and evil, damp and hot for outside, in addition the diet is not saved, the spleen and stomach are damaged; Or because feeling will depressed, diseases with such symptoms as costal pain,etc. strongly fragrant and stagnat, the intersection of stagnation of the circulation of vital energy and the intersection of blood and silt, marry and Cheng Ji; Or because the intersection of spleen and male genital, for being wet to surround, wet to melt hot while being strongly fragrant, steam strongly fragrant growing. It is said that " the one hundredth disease of efficacious pivot starts to grow ": "Fever and chills of the trials and hardship, can't be empty, evil can't hurt one's feeling alone. " "The timid and evil middleman begins with the skin too, it is deep to enter supporting, stay without going, spread and give up outside the stomach, while raising originally, stay at pulse, stay without going, stop but Cheng Ji. " Call again: "It accumulate start to grow, cold and raw,faint Ji Cheng too. " So, the disease machine related to hepatocarcinoma has blood of deficiency of vital energy of internal organs that is lost inside, the spleen is empty and wet and tired, blood silt of stagnation of the circulation of vital energy; Have six excessive to invade while being poisonous while being evil outside, timid to congeal poison, form while being evil, succeed, accumulate with the passing of time. Western medicine thinks the cause of disease of hepatocarcinoma is because: B-mode hepatitis virus, liver cirrhosis; Uptake of inferior nitre amine compound; Drink stagnant water, water of the pool, water of residence ditch for a long time; Inherent cause; Malnutritive and getting drunk for a long time; Aflatoxin,etc.. In the treatment of hepatocarcinoma: Indicate clinically, Chinese medicine treatment and therapy of combining traditional Chinese and Western medicine should be superior to simple Western medicine chemotherapy. The Chinese medicine treatment is to distinguish the evil straight actual situation and give cube and send medicines under the guidance of Chinese medicine theory, according to the view of combining together somely and wholly, construct and cure dialectically and distinguish the disease treatment to combine, supporting and treating and combining together with the anticancer treatment. It verifies clinically, national-level and " accurate " to pass New medicine of anticancer of shop " The kind red glue is assisted " ,Mix with other traditional Chinese medicine preparations and decoctions of medicinal ingredients, there is very good curative effect in the treatment of hepatocarcinoma. Use with chemotherapy, there is prominent increase that reduces poisonous function and and can improve clinical symptom effectively, protect organism immunity, has created the advantage for treating back and forth in surgery, suitable for, can't perform the operation and set patient of chemotherapy free at the same time. Therapy of combining traditional Chinese and Western medicine is an important means to improve curative effect of hepatocarcinoma too. The clinical result of study shows, combine the treatment means with different traditional Chinese and western medicine, give full play to the characteristics of different therapeutic method, accomplish it on the premise of improving organism immunity, inhibit or eliminate tumour cells to the maximum extent, improve organism, resist ability and enhancement to control and ability to kill that cancer cell breed of disease, lengthen the patient's life. (the intersection of author and WeiDa Zheng Beijing big to up to tumour of Chinese medicine to prevent and cure the chief of institute)
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Hepatocarcinoma is one of the more common malignant tumour, see more the coastal area in the southeast in our country. The statistics show, the death toll of hepatocarcinoma of our country accounts for 5% of the death toll of hepatocarcinoma of whole world, the factor that closely related with with hepatocarcinoma has B-mode hepatitis viruses (HBV) Infecting, aflatoxin and drinking the water pollution,etc.. The traditional Chinese medicine one " The ruffian is angry " , " Jia " , " Jia is yellow " Similar to hepatocarcinoma. Causing the cause of disease of these diseases to be ill machine, mainly receive the cold, wet and evil, damp and hot for outside, in addition the diet is not saved, the spleen and stomach are damaged; Or because feeling will depressed, diseases with such symptoms as costal pain,etc. strongly fragrant and stagnat, the intersection of stagnation of the circulation of vital energy and the intersection of blood and silt, marry and Cheng Ji; Or because the intersection of spleen and male genital, for being wet to surround, wet to melt hot while being strongly fragrant, steam strongly fragrant growing. It is said that " the one hundredth disease of efficacious pivot starts to grow ": "Fever and chills of the trials and hardship, can't be empty, evil can't hurt one's feeling alone. " "The timid and evil middleman begins with the skin too, it is deep to enter supporting, stay without going, spread and give up outside the stomach, while raising originally, stay at pulse, stay without going, stop but Cheng Ji. " Call again: "It accumulate start to grow, cold and raw,faint Ji Cheng too. " So, the disease machine related to hepatocarcinoma has blood of deficiency of vital energy of internal organs that is lost inside, the spleen is empty and wet and tired, blood silt of stagnation of the circulation of vital energy; Have six excessive to invade while being poisonous while being evil outside, timid to congeal poison, form while being evil, succeed, accumulate with the passing of time. Western medicine thinks the cause of disease of hepatocarcinoma is because: B-mode hepatitis virus, liver cirrhosis; Uptake of inferior nitre amine compound; Drink stagnant water, water of the pool, water of residence ditch for a long time; Inherent cause; Malnutritive and getting drunk for a long time; Aflatoxin,etc.. In the treatment of hepatocarcinoma: Indicate clinically, Chinese medicine treatment and therapy of combining traditional Chinese and Western medicine should be superior to simple Western medicine chemotherapy. The Chinese medicine treatment is to distinguish the evil straight actual situation and give cube and send medicines under the guidance of Chinese medicine theory, according to the view of combining together somely and wholly, construct and cure dialectically and distinguish the disease treatment to combine, supporting and treating and combining together with the anticancer treatment. It verifies clinically, national-level and " accurate " to pass New medicine of anticancer of shop " The kind red glue is assisted " ,Mix with other traditional Chinese medicine preparations and decoctions of medicinal ingredients, there is very good curative effect in the treatment of hepatocarcinoma. Use with chemotherapy, there is prominent increase that reduces poisonous function and and can improve clinical symptom effectively, protect organism immunity, has created the advantage for treating back and forth in surgery, suitable for, can't perform the operation and set patient of chemotherapy free at the same time. Therapy of combining traditional Chinese and Western medicine is an important means to improve curative effect of hepatocarcinoma too. The clinical result of study shows, combine the treatment means with different traditional Chinese and western medicine, give full play to the characteristics of different therapeutic method, accomplish it on the premise of improving organism immunity, inhibit or eliminate tumour cells to the maximum extent, improve organism, resist ability and enhancement to control and ability to kill that cancer cell breed of disease, lengthen the patient's life. (the intersection of author and WeiDa Zheng Beijing big to up to tumour of Chinese medicine to prevent and cure the chief of institute)
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Organization type _ general knowledge of hepatocarcinoma
Organization type _ general knowledge of hepatocarcinoma
Organize the type
(1) The source of the liver cancer cell: HCC may come from the canceration of the hepatocyte, bile duct cell cancer comes from the cell canceration of bile duct.
(2) Great bodily form attitude and classification of hepatocarcinoma
1. Filling the air cancer and tubercle are little, present filling the air distribution, it is apt to obscure with cirrhosis.
2. The bulk type diameter of cancerous swelling is greater than 5cm, the persons who are among them is greater than 10cm are a huge one type.
(1)Single piece type: Single cancer is clear at piece border or abnormality, wrap up the membrane intactly or incompletely.
(2)The one merging type: It is adjacent cancerous swelling is in bulk without being merged,have scattered livers around often in not organizing in satellite cancer tubercle.
(3)Polylith type: Or merge a cancerous swelling to form by a plurality of form pieces.
3. The tubercle type tubercle diameter of cancer is smaller than 5cm. It is as follows, to be common and inferior type
(1)Single tubercle type: Single cancer is clear that there is membrane of bag, the common and small satellite tubercle in the perimeter at tubercle border.
(2)The tubercle merging type: The abnormality of border, it is here that satellite tubercle around breaks up.
(3)Many tubercles type: Disperse in the liver, know abnormality at the border.
4. Little cancer type single the intersection of cancer and the intersection of tubercle and diameter smaller than 3cm, adjacent two the intersection of cancer and the intersection of tubercle and diameter and smaller than 3cm, the border is clear, often have membrane of obvious bag.
Bile duct cell cancer is divided into filling the air type, bulk type and tubercle type too in principle, with the single piece type in order to see more. Tumour have more the intersection of bag and membrane, tumour the fibrous connective tissue is abundant in the body, the quality is hard, the liver organization around does not have more cirrhosis.
(3) Histologic shape and classification of hepatocarcinoma
According to the cell shape characteristic of HCC: It split up it is higher HCC cell organization last roof beam or if you can't last form, arrange,among quality is little, the blood sinus is abundant, a little is withered to deny cells. Called roof beam cell cancer of the liver. One of cracks is taken the form of and asked for the strip to expand while seeing cancer organized in one kind of cancers of liver gland. Liver entity type cancer, unless there are abundant on cancer cell, it is arrange to fill the air,it see blood sinus or among quality. Liver cirrhosis type cancer, the cancer cell is relatively small, the quality among the fibers is abundant, it is vesicular that the cancer tissue is divided into the irregular thin roof beam or gland, there is no basilar membrane to round, there can also be the above-mentioned manifestation while causing tumour and necrosis in radiotherapy or chemotherapy. Low splitting up cancer, the cancer cell is special-shaped or takes the form of shuttleless loom, is breaking up and arranging, the blood sinus is not obvious or arranges abnormality. Bile duct cell cancer reveals the cancer structure of more typical gland, can form the gland tube, bag or papilla.
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Organize the type
(1) The source of the liver cancer cell: HCC may come from the canceration of the hepatocyte, bile duct cell cancer comes from the cell canceration of bile duct.
(2) Great bodily form attitude and classification of hepatocarcinoma
1. Filling the air cancer and tubercle are little, present filling the air distribution, it is apt to obscure with cirrhosis.
2. The bulk type diameter of cancerous swelling is greater than 5cm, the persons who are among them is greater than 10cm are a huge one type.
(1)Single piece type: Single cancer is clear at piece border or abnormality, wrap up the membrane intactly or incompletely.
(2)The one merging type: It is adjacent cancerous swelling is in bulk without being merged,have scattered livers around often in not organizing in satellite cancer tubercle.
(3)Polylith type: Or merge a cancerous swelling to form by a plurality of form pieces.
3. The tubercle type tubercle diameter of cancer is smaller than 5cm. It is as follows, to be common and inferior type
(1)Single tubercle type: Single cancer is clear that there is membrane of bag, the common and small satellite tubercle in the perimeter at tubercle border.
(2)The tubercle merging type: The abnormality of border, it is here that satellite tubercle around breaks up.
(3)Many tubercles type: Disperse in the liver, know abnormality at the border.
4. Little cancer type single the intersection of cancer and the intersection of tubercle and diameter smaller than 3cm, adjacent two the intersection of cancer and the intersection of tubercle and diameter and smaller than 3cm, the border is clear, often have membrane of obvious bag.
Bile duct cell cancer is divided into filling the air type, bulk type and tubercle type too in principle, with the single piece type in order to see more. Tumour have more the intersection of bag and membrane, tumour the fibrous connective tissue is abundant in the body, the quality is hard, the liver organization around does not have more cirrhosis.
(3) Histologic shape and classification of hepatocarcinoma
According to the cell shape characteristic of HCC: It split up it is higher HCC cell organization last roof beam or if you can't last form, arrange,among quality is little, the blood sinus is abundant, a little is withered to deny cells. Called roof beam cell cancer of the liver. One of cracks is taken the form of and asked for the strip to expand while seeing cancer organized in one kind of cancers of liver gland. Liver entity type cancer, unless there are abundant on cancer cell, it is arrange to fill the air,it see blood sinus or among quality. Liver cirrhosis type cancer, the cancer cell is relatively small, the quality among the fibers is abundant, it is vesicular that the cancer tissue is divided into the irregular thin roof beam or gland, there is no basilar membrane to round, there can also be the above-mentioned manifestation while causing tumour and necrosis in radiotherapy or chemotherapy. Low splitting up cancer, the cancer cell is special-shaped or takes the form of shuttleless loom, is breaking up and arranging, the blood sinus is not obvious or arranges abnormality. Bile duct cell cancer reveals the cancer structure of more typical gland, can form the gland tube, bag or papilla.
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Hepatocarcinoma relevant to treat _'s treatment of folk prescription
Hepatocarcinoma relevant to treat _'s treatment of folk prescription
The cause of disease: Disease this whether the intersection of life and hard work accumulate mostly, businessman compare with labourer getting easy this disease. There is one kind of plaster of this disease.
Prescription: Plain boiled pork beans( Plum, white plum beans, white French beans) in white four seasons 0.4 kilograms of roots, the ginseng is 2 qian, cook and put 11 bowls of water, can be drunk after boiling and rolling, boiling for 40 minutes with the slow fire. (drink the law to take the cutting of blood circulation to cooperate and could produce effects with time) .
Time: If is summer, drink once at nine o'clock a.m., drink once at nine o'clock in the evening. Drink once at half past nine of winter morning, drink once at half past ten in the evening. (this because blood circulation slow winter, difference to have this) .
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The cause of disease: Disease this whether the intersection of life and hard work accumulate mostly, businessman compare with labourer getting easy this disease. There is one kind of plaster of this disease.
Prescription: Plain boiled pork beans( Plum, white plum beans, white French beans) in white four seasons 0.4 kilograms of roots, the ginseng is 2 qian, cook and put 11 bowls of water, can be drunk after boiling and rolling, boiling for 40 minutes with the slow fire. (drink the law to take the cutting of blood circulation to cooperate and could produce effects with time) .
Time: If is summer, drink once at nine o'clock a.m., drink once at nine o'clock in the evening. Drink once at half past nine of winter morning, drink once at half past ten in the evening. (this because blood circulation slow winter, difference to have this) .
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Wednesday, February 27, 2013
Therapeutic mistaken idea _'s treatment of hepatocarcinoma
Therapeutic mistaken idea _'s treatment of hepatocarcinoma
1. Hepatocarcinoma is looked on as hepatitis, liver cirrhosis treatment in early days.
2. The intersection of hepatocarcinoma and early not all right surgery of effecting a radical cure etc., give protecting liver treatmenting general only.
3. The intersection of hepatocarcinoma and postoperative competent chemotherapy only, ignore the intersection of traditional Chinese medicine and treatment.
4. The abdominal cavity of hepatocarcinoma shifts ascites, under the situation of Western medicine at a loss what to do, just look for the Chinese medicine treatment.
5. Have ignored the traditional Chinese medicine treatment to run through in the whole course of treating hepatocarcinoma, " The lucky star of day " Have opened up a new world for the hepatocarcinoma treatment.
Diagnosis of hepatocarcinoma from already The thirties " Diagnose after death " Develop to " Clinical diagnosis " And The seventies " Inferior clinical diagnosis " . This one progresses and comes out to get in touch with the new diagnostic method of different periods closely. AFP was measured and used in making hepatocarcinoma diagnose clinically that produced the first leap at the end of the sixties; It last supersound that be produced the eighties electronic computer apparent like, CT, MRI,etc. new localization diagnostic method appearance last the second leap that hepatocarcinoma diagnose. It if you can't leap by hepatocarcinoma diagnosis for the first time, enable from " Clinical one is diagnosed " Improve to " Inferior clinical one is diagnosed " Stage; The second leap makes inferior clinical one diagnosed and improved to 1cm hepatocarcinoma level, and make the clinical diagnosis of issues of hepatocarcinoma more accurate, ultrasonic application make it have, raise obviously not to treat competence again in the skill. The ones that are brought by the new technology include renewal of the concept, " inferior clinical diagnosis " Concept already totally last concept.
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1. Hepatocarcinoma is looked on as hepatitis, liver cirrhosis treatment in early days.
2. The intersection of hepatocarcinoma and early not all right surgery of effecting a radical cure etc., give protecting liver treatmenting general only.
3. The intersection of hepatocarcinoma and postoperative competent chemotherapy only, ignore the intersection of traditional Chinese medicine and treatment.
4. The abdominal cavity of hepatocarcinoma shifts ascites, under the situation of Western medicine at a loss what to do, just look for the Chinese medicine treatment.
5. Have ignored the traditional Chinese medicine treatment to run through in the whole course of treating hepatocarcinoma, " The lucky star of day " Have opened up a new world for the hepatocarcinoma treatment.
Diagnosis of hepatocarcinoma from already The thirties " Diagnose after death " Develop to " Clinical diagnosis " And The seventies " Inferior clinical diagnosis " . This one progresses and comes out to get in touch with the new diagnostic method of different periods closely. AFP was measured and used in making hepatocarcinoma diagnose clinically that produced the first leap at the end of the sixties; It last supersound that be produced the eighties electronic computer apparent like, CT, MRI,etc. new localization diagnostic method appearance last the second leap that hepatocarcinoma diagnose. It if you can't leap by hepatocarcinoma diagnosis for the first time, enable from " Clinical one is diagnosed " Improve to " Inferior clinical one is diagnosed " Stage; The second leap makes inferior clinical one diagnosed and improved to 1cm hepatocarcinoma level, and make the clinical diagnosis of issues of hepatocarcinoma more accurate, ultrasonic application make it have, raise obviously not to treat competence again in the skill. The ones that are brought by the new technology include renewal of the concept, " inferior clinical diagnosis " Concept already totally last concept.
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What is symptom _ test check later period in hepatocarcinoma
What is symptom _ test check later period in hepatocarcinoma
The common physical sign of hepatocarcinoma of later period in jaundice is, filling the air hepatocarcinoma and bile duct cell cancer are aptest to present jaundice. Jaundice many because bile duct press and cancerous swelling invade people's bile duct send to the bile duct to block, can also result from the reason that the liver door shifts the enlargement of lymph nodes to oppress the bile duct. A few case patients grow in the bile duct because of the hepatocarcinoma tissue, lump stops up the bile duct, cause obstructive yellow subcutaneous ulcer.
Liver cell cancer may have the following routes to infringe the bile duct: Tumour is soaked into the bile duct in people's liver directly; Cancer cell invade the intersection of people and intravenous or lymphatic vessel, drive in the wrong direction, invade people's liver, in charge of; Tumour cells invade people's liver to manage along the interval of nerve endings. Tumour cell enter people, in the liver after the bile duct, continue, grow, block the intersection of gallbladder and person in over-all charge or lump that loss enter people bile duct lead to the fact clog outside the liver. When tumour blocks liver of one side to present jaundice, can itch with skin, the intersection of stool and intermittence present the intersection of potter's clay and color, appetite, drop, a few patients can be shown as angina of right upper abdomen, feared cold, generate heat, jaundice, one or two people present symptom of the serious disease cholangitis very much. Hepatocarcinoma patient accompany, take place getting obstructive clinical jaundice, but there is no special character in its clinical manifestation, so person who misdiagnose relatively high on being clinical, but high to up to 75%. Patient presents chronic hepatopathy obstructive and yellow
At the time of subcutaneous ulcer, should think of the possibility of hepatocarcinoma. Some patients' jaundice can also result from the reason that the liver work is damaged, such yellow subcutaneous ulcer is after assuaring liver is managed, yellow subcutaneous ulcer can be relieved partly, and jaundice due to cancerous swelling, assuare the liver treatment disappears jaundice is invalid.
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The common physical sign of hepatocarcinoma of later period in jaundice is, filling the air hepatocarcinoma and bile duct cell cancer are aptest to present jaundice. Jaundice many because bile duct press and cancerous swelling invade people's bile duct send to the bile duct to block, can also result from the reason that the liver door shifts the enlargement of lymph nodes to oppress the bile duct. A few case patients grow in the bile duct because of the hepatocarcinoma tissue, lump stops up the bile duct, cause obstructive yellow subcutaneous ulcer.
Liver cell cancer may have the following routes to infringe the bile duct: Tumour is soaked into the bile duct in people's liver directly; Cancer cell invade the intersection of people and intravenous or lymphatic vessel, drive in the wrong direction, invade people's liver, in charge of; Tumour cells invade people's liver to manage along the interval of nerve endings. Tumour cell enter people, in the liver after the bile duct, continue, grow, block the intersection of gallbladder and person in over-all charge or lump that loss enter people bile duct lead to the fact clog outside the liver. When tumour blocks liver of one side to present jaundice, can itch with skin, the intersection of stool and intermittence present the intersection of potter's clay and color, appetite, drop, a few patients can be shown as angina of right upper abdomen, feared cold, generate heat, jaundice, one or two people present symptom of the serious disease cholangitis very much. Hepatocarcinoma patient accompany, take place getting obstructive clinical jaundice, but there is no special character in its clinical manifestation, so person who misdiagnose relatively high on being clinical, but high to up to 75%. Patient presents chronic hepatopathy obstructive and yellow
At the time of subcutaneous ulcer, should think of the possibility of hepatocarcinoma. Some patients' jaundice can also result from the reason that the liver work is damaged, such yellow subcutaneous ulcer is after assuaring liver is managed, yellow subcutaneous ulcer can be relieved partly, and jaundice due to cancerous swelling, assuare the liver treatment disappears jaundice is invalid.
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Therapeutic way _'s treatment of hepatocarcinoma
Therapeutic way _'s treatment of hepatocarcinoma
It is a main factor of improving the prognosis of hepatocarcinoma to treat in early days. Early hepatocarcinoma should try hard to adopt the operation to excise. The big hepatocarcinoma to not excising can also adopt the complex treatment of many modes.
(1) Surgery treatment
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years.
The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function. Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. But the side to developing countries, still difficult to popularize in recent years because of supporting body source and fee question.
(2) Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, the method has artery ligature sum of liver ' Or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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It is a main factor of improving the prognosis of hepatocarcinoma to treat in early days. Early hepatocarcinoma should try hard to adopt the operation to excise. The big hepatocarcinoma to not excising can also adopt the complex treatment of many modes.
(1) Surgery treatment
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years.
The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function. Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. But the side to developing countries, still difficult to popularize in recent years because of supporting body source and fee question.
(2) Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, the method has artery ligature sum of liver ' Or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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Treatment and liver transplantation _'s treatment of hepatocarcinoma
Treatment and liver transplantation _'s treatment of hepatocarcinoma
Hepatocarcinoma jeopardizes malignant tumour of health and life seriously. Say strictly, there is not a therapeutic method that have absolute assurance that cures all kinds of hepatocarcinoma at present. The method to treat hepatocarcinoma is numerous, it is unrealistic to let the patient choose out to be most suitable for one's own method from it, let some the intersection of liver and the intersection of disease and specialized doctor make decision this, can offset to some extent too. So, find out about indication of different therapeutic method, it is very essential to making the correct judgement.
Before 1990s, the liver excises the best therapeutic method consistently voted hepatocarcinoma, also hepatocarcinoma is got
Hope of effecting a radical cure. In fact, liver excise and regional chemotherapy make right curative effect really. Small 5 the intersection of annual mean and survival rate of hepatocarcinoma close to 70%, survival rate is close to 40% too big 5 in hepatocarcinoma. However, the patient who can make liver and excise only accounts for about 30% of all hepatocarcinoma patients, in addition most patients do not have operation chance, main reason have liver too bad to store function and tumour unable to excise to infringe main blood vessel already and position excise getting difficult specially.
In recent years, some new therapeutic method, if microwave solidification, radio frequency melt, high and can be focused on supersound, radioactive focus knife, alcohol injecting, radioactive particle and planted the appearance that treats etc. into, frozen, have brought the new hope for those hepatocarcinoma patients who can't become the excision. The wound of these method is relatively little, easy to operate, the risk is relatively low, can yet be regarded as a kind of choice. But is not eliminated completely because of pathological change, so the recuring rate is relatively high, its long-term curative effect still remains to further observe.
The intersection of liver and the intersection of artery and the intersection of chemotherapy and thromboembolism, involvement commonly called ased to that is treat, perform the operation the intersection of curative effect and better one under treatment, later period hepatocarcinoma suitable for, occur frequently hepatocarcinoma, hepatocarcinoma break, bleed and preparation, hepatocarcinoma prepare etc. in front of the skill of liver transplantation in front of the enormous skill of hepatocarcinoma. As to in there can make is later period hepatocarcinoma life cycle lengthen 1 about year to 50% about patient. Can make about 30% of the patients excised as to big hepatocarcinoma. As to the liver transplantation patient of hepatocarcinoma, such as getting involved and treating before transplantation, can reduce the recurring of tumour after liver transplantation.
The rise of the transplantation technology of liver, has brought the revolutionary change to surgical idea of the liver, liver transplantation not only can excise tumour, the more important thing is to remove the liver of whole disease at the same time, \ eliminating hepatocarcinoma and happening " The soil \ " ,The new liver transplanted has removed the liver and stored the worry not complete of the function. Liver transplantation treat the intersection of liver and hard compound and little hepatocarcinoma made the satisfactory result, and got unanimous approval of the domestic and foreign expert, survival rate has already been up to 80% its 5 years after the operation. Though liver transplantation treats hepatocarcinoma with bringing the bright prospect to us in practice in theory, but its indication should be mastered strictly, not every hepatocarcinoma patient adapts to doing liver transplantation. The international standard is: The single tumour diameter does not exceed 5 centimetres, or the tumour number does not exceed 3 centimetres without exceeding 3, each diameter. But in practice, for instance standard and American UCSF standard of Kyoto of Japan,etc. all relax some, have made better result too. Combining my national conditions condition, we think, has not shifted outside liver, there is not cancer bolt that take shape, the infringement without trunk is a bottom line of liver transplantation of hepatocarcinoma. And the skill pre-processing, the operation is operated, preventing, rational application of the immune inhibitor in the skill, measures such as postoperative chemotherapy,etc. have a important impact on prognosis of liver transplantation of hepatocarcinoma too.
The treatment of hepatocarcinoma is influenced by many kinds of factors. Size, property, number, and vascular neighbouring relationship and liver function state of tumour,etc., will all influence choice and result of patient's healing solution. So the patient reaches the hepatopathy treatment experiencedly, especially a medical organization understood in depth treats that is the wise selecting.
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Hepatocarcinoma jeopardizes malignant tumour of health and life seriously. Say strictly, there is not a therapeutic method that have absolute assurance that cures all kinds of hepatocarcinoma at present. The method to treat hepatocarcinoma is numerous, it is unrealistic to let the patient choose out to be most suitable for one's own method from it, let some the intersection of liver and the intersection of disease and specialized doctor make decision this, can offset to some extent too. So, find out about indication of different therapeutic method, it is very essential to making the correct judgement.
Before 1990s, the liver excises the best therapeutic method consistently voted hepatocarcinoma, also hepatocarcinoma is got
Hope of effecting a radical cure. In fact, liver excise and regional chemotherapy make right curative effect really. Small 5 the intersection of annual mean and survival rate of hepatocarcinoma close to 70%, survival rate is close to 40% too big 5 in hepatocarcinoma. However, the patient who can make liver and excise only accounts for about 30% of all hepatocarcinoma patients, in addition most patients do not have operation chance, main reason have liver too bad to store function and tumour unable to excise to infringe main blood vessel already and position excise getting difficult specially.
In recent years, some new therapeutic method, if microwave solidification, radio frequency melt, high and can be focused on supersound, radioactive focus knife, alcohol injecting, radioactive particle and planted the appearance that treats etc. into, frozen, have brought the new hope for those hepatocarcinoma patients who can't become the excision. The wound of these method is relatively little, easy to operate, the risk is relatively low, can yet be regarded as a kind of choice. But is not eliminated completely because of pathological change, so the recuring rate is relatively high, its long-term curative effect still remains to further observe.
The intersection of liver and the intersection of artery and the intersection of chemotherapy and thromboembolism, involvement commonly called ased to that is treat, perform the operation the intersection of curative effect and better one under treatment, later period hepatocarcinoma suitable for, occur frequently hepatocarcinoma, hepatocarcinoma break, bleed and preparation, hepatocarcinoma prepare etc. in front of the skill of liver transplantation in front of the enormous skill of hepatocarcinoma. As to in there can make is later period hepatocarcinoma life cycle lengthen 1 about year to 50% about patient. Can make about 30% of the patients excised as to big hepatocarcinoma. As to the liver transplantation patient of hepatocarcinoma, such as getting involved and treating before transplantation, can reduce the recurring of tumour after liver transplantation.
The rise of the transplantation technology of liver, has brought the revolutionary change to surgical idea of the liver, liver transplantation not only can excise tumour, the more important thing is to remove the liver of whole disease at the same time, \ eliminating hepatocarcinoma and happening " The soil \ " ,The new liver transplanted has removed the liver and stored the worry not complete of the function. Liver transplantation treat the intersection of liver and hard compound and little hepatocarcinoma made the satisfactory result, and got unanimous approval of the domestic and foreign expert, survival rate has already been up to 80% its 5 years after the operation. Though liver transplantation treats hepatocarcinoma with bringing the bright prospect to us in practice in theory, but its indication should be mastered strictly, not every hepatocarcinoma patient adapts to doing liver transplantation. The international standard is: The single tumour diameter does not exceed 5 centimetres, or the tumour number does not exceed 3 centimetres without exceeding 3, each diameter. But in practice, for instance standard and American UCSF standard of Kyoto of Japan,etc. all relax some, have made better result too. Combining my national conditions condition, we think, has not shifted outside liver, there is not cancer bolt that take shape, the infringement without trunk is a bottom line of liver transplantation of hepatocarcinoma. And the skill pre-processing, the operation is operated, preventing, rational application of the immune inhibitor in the skill, measures such as postoperative chemotherapy,etc. have a important impact on prognosis of liver transplantation of hepatocarcinoma too.
The treatment of hepatocarcinoma is influenced by many kinds of factors. Size, property, number, and vascular neighbouring relationship and liver function state of tumour,etc., will all influence choice and result of patient's healing solution. So the patient reaches the hepatopathy treatment experiencedly, especially a medical organization understood in depth treats that is the wise selecting.
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Curing the standard _'s treatment of hepatocarcinoma
Curing the standard _'s treatment of hepatocarcinoma
The curative effect evaluation criterion of the primary hepatocarcinoma is the following three.
1.Regard change of the volume of tumour as its regulation of the measure of curative effect as follows.
( 1) Totally relieve: The above that tumour disappears and lasts January that it is obvious.
( 2) Relieve partly: Tumour two a most large one vertical the intersection of diameter and product dwindle 50% more than and last more than January each other.
( 3) Steady: Tumour two a most large one vertical the intersection of diameter and product dwindle fewer than 50% each other, increase, exceed 25% and last one more than month.
( 4) Worsen: Two pieces of largest diameter product vertical each other of tumour increase and does not exceed 25%.
2.Regard first child albumen's content change as the measure of curative effect. It is that an operation belongs to the basis radically treated that postoperative AFP drops to normally.
3.So as to as the measure of curative effect life cycle treat. The size of the patient's life cycle has reflected the final result treated after treating, so is the most valuable curative effect standard.
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The curative effect evaluation criterion of the primary hepatocarcinoma is the following three.
1.Regard change of the volume of tumour as its regulation of the measure of curative effect as follows.
( 1) Totally relieve: The above that tumour disappears and lasts January that it is obvious.
( 2) Relieve partly: Tumour two a most large one vertical the intersection of diameter and product dwindle 50% more than and last more than January each other.
( 3) Steady: Tumour two a most large one vertical the intersection of diameter and product dwindle fewer than 50% each other, increase, exceed 25% and last one more than month.
( 4) Worsen: Two pieces of largest diameter product vertical each other of tumour increase and does not exceed 25%.
2.Regard first child albumen's content change as the measure of curative effect. It is that an operation belongs to the basis radically treated that postoperative AFP drops to normally.
3.So as to as the measure of curative effect life cycle treat. The size of the patient's life cycle has reflected the final result treated after treating, so is the most valuable curative effect standard.
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Checking project and result of hepatocarcinoma evaluates _'s treatment
Checking project and result of hepatocarcinoma evaluates _'s treatment
Primary hepatocarcinoma can be divided into a hepatocyte type, bile duct cell type and phenotype are 3 kinds of types, among them the overwhelming majority is a hepatocyte type. Primary hepatocarcinoma is one of the common malignant tumour of our country. Mortality occupies the third place in malignant tumour, is second only to gastric carcinoma and cancer of the esophagus. Epidemiology is investigated, case fatality rate geography of hepatocarcinoma differs significantly. World Health Organization statistics show, the mortality of hepatocarcinoma ranks the fifth worldwide.
Clinical manifestation uncomfortable for upper abdomen and secret anguish, bored bloated, belly inner lump, liver splenomegaly, jaundice, ascites, urine yellow, etc behind the food.
[The test project is chosen ]
Blood routine, urine routine, producing, blood coagulation time, thrombinogen is determined, liver function, renal function, serum alkaline phosphatase, - valley ammonia acyl is transferred to peptide enzyme ( - GT) Isoenzyme, the ferritin of serum (SF) , 1 resists the trypsin ( 1 - AT) ,First child albumen (AFP) ,Ascites slide, biochemistry are checked.
[The test result is judged ]
(1)First child albumen finds that there are stronger sensitiveness and specificity in diagnosing primary hepatocarcinoma, its positive rate is about 70%.
(2)Although the ferritin of serum is not a specificity, except that hepatocarcinoma, pancreas cancer traditional Chinese medicine education network degree rise, other digestive tract tumours such as cancer of the esophagus, gastric carcinomas, rectal cancer do not rise, the positive rate is 66%. The ferritin of serum of the effective one of patient's treatment of hepatocarcinoma drops, and the persons who worsen and send rise, prognosis of increasing continuously is bad, so the serum ferritin is examined and should be able to be regarded as one of the monitoring means of curative effect, especially negative patient to AFP meaningful particularly.
(3) 1 resists the trypsin ( 1AT) Determine, the positive rate of hepatocarcinoma is 65%.
(4) - valley ammonia acyl is transferred to peptide enzyme ( - GT) Determine, the positive rate of hepatocarcinoma is 50% with isoenzyme.
(5)Thrombinogen is determined, the positive rate of hepatocarcinoma is 72%.
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Primary hepatocarcinoma can be divided into a hepatocyte type, bile duct cell type and phenotype are 3 kinds of types, among them the overwhelming majority is a hepatocyte type. Primary hepatocarcinoma is one of the common malignant tumour of our country. Mortality occupies the third place in malignant tumour, is second only to gastric carcinoma and cancer of the esophagus. Epidemiology is investigated, case fatality rate geography of hepatocarcinoma differs significantly. World Health Organization statistics show, the mortality of hepatocarcinoma ranks the fifth worldwide.
Clinical manifestation uncomfortable for upper abdomen and secret anguish, bored bloated, belly inner lump, liver splenomegaly, jaundice, ascites, urine yellow, etc behind the food.
[The test project is chosen ]
Blood routine, urine routine, producing, blood coagulation time, thrombinogen is determined, liver function, renal function, serum alkaline phosphatase, - valley ammonia acyl is transferred to peptide enzyme ( - GT) Isoenzyme, the ferritin of serum (SF) , 1 resists the trypsin ( 1 - AT) ,First child albumen (AFP) ,Ascites slide, biochemistry are checked.
[The test result is judged ]
(1)First child albumen finds that there are stronger sensitiveness and specificity in diagnosing primary hepatocarcinoma, its positive rate is about 70%.
(2)Although the ferritin of serum is not a specificity, except that hepatocarcinoma, pancreas cancer traditional Chinese medicine education network degree rise, other digestive tract tumours such as cancer of the esophagus, gastric carcinomas, rectal cancer do not rise, the positive rate is 66%. The ferritin of serum of the effective one of patient's treatment of hepatocarcinoma drops, and the persons who worsen and send rise, prognosis of increasing continuously is bad, so the serum ferritin is examined and should be able to be regarded as one of the monitoring means of curative effect, especially negative patient to AFP meaningful particularly.
(3) 1 resists the trypsin ( 1AT) Determine, the positive rate of hepatocarcinoma is 65%.
(4) - valley ammonia acyl is transferred to peptide enzyme ( - GT) Determine, the positive rate of hepatocarcinoma is 50% with isoenzyme.
(5)Thrombinogen is determined, the positive rate of hepatocarcinoma is 72%.
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Which are the early symptom of hepatocarcinoma? 's symptom
Which are the early symptom of hepatocarcinoma? 's symptom
(1)Have hepatitis and the intersection of liver cirrhosis and medical history once, condition stability chilly to generate heat for many years, and happen suddenly in liver district and stuffy pain or sharp pain of gallbladder district. (2)The adult over 30, right upper abdomen and upper abdomen can lay one's hand on and wrap up the piece, the texture is hard, the surface is not smooth, and observe and increase the trend obviously continuously, but the patient does not have the obviously uncomfortable ones. (3)The mouth dries, agitated, insomnia, gingivae and nasal cavity bleed, with bloated Manchus of upper abdomen, the uncomfortable one of liver area. (4)The joint aches all over, it is most obvious to regard waist back as particularly, with apocleisis, agitated, uncomfortable in the liver district, in order to resist the rheumatism treatment, the good one of result. (5)Suffer from diarrhoea with indigestion and abdominal distension repeatedly, or can't effect a radical cure according to the intersection of gastroenteritis and obvious therapeutic effect, and there are stuffy pain of liver district, the persons who become thin gradually. (6)There is history of family of tumour, especially the person who nears relative by marriage clan's history who has hepatocarcinoma.
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(1)Have hepatitis and the intersection of liver cirrhosis and medical history once, condition stability chilly to generate heat for many years, and happen suddenly in liver district and stuffy pain or sharp pain of gallbladder district. (2)The adult over 30, right upper abdomen and upper abdomen can lay one's hand on and wrap up the piece, the texture is hard, the surface is not smooth, and observe and increase the trend obviously continuously, but the patient does not have the obviously uncomfortable ones. (3)The mouth dries, agitated, insomnia, gingivae and nasal cavity bleed, with bloated Manchus of upper abdomen, the uncomfortable one of liver area. (4)The joint aches all over, it is most obvious to regard waist back as particularly, with apocleisis, agitated, uncomfortable in the liver district, in order to resist the rheumatism treatment, the good one of result. (5)Suffer from diarrhoea with indigestion and abdominal distension repeatedly, or can't effect a radical cure according to the intersection of gastroenteritis and obvious therapeutic effect, and there are stuffy pain of liver district, the persons who become thin gradually. (6)There is history of family of tumour, especially the person who nears relative by marriage clan's history who has hepatocarcinoma.
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The inspection of hepatocarcinoma and _'s symptom of the diagnosis
The inspection of hepatocarcinoma and _'s symptom of the diagnosis
Need inspection that carry on have in the intersection of radioactive rays and the intersection of image and biological chemical examination that go on study inspection and collect blood, that department carry on mainly in order to diagnose hepatocarcinoma.
The image learns to check
Supersonic wave is checked (US)
Supersonic wave check it is first-selected the intersection of method and the inspection method that need, pop one's head, locate in belly and chest supersonic wave, there is not any agony while checking, to diagnosing small hepatocarcinoma is an effective method.
It is the accurate X-ray image that studies one of the inspection methods, it is a painless and effective inspection method. Intravenous the intersection of bit and the intersection of radiography and pharmaceutical photograph the same according to the needs of sometimes the condition.
The nuclear magnetic resonance is checked (MRI)
This inspection method is a kind of painless inspection too, it is not so good as US and CT to discovery rate of less pathological change, but can with find out about property inside the tumour precise than US and CT, after not passing, checking, finding pathological change while being other, can make use of MRI to find out about the properties of tumour at the time of differential diagnosis.
The angiography is checked
It is a that ogy to nearby or internalthe properties of tumour at the time of differential diagnosis. Generally speaking check this kind to need to be in hospital, just carry on this kind of inspection while discovering the problems in other inspections.
Have already developed the new method to call DSA of dealing with the angiography data by the computer in recent years, it is apt to find more small liver cell cancer to utilize this kind of method. In addition, can also pour into oily radiography pharmaceutical which is called lipiodol while carrying on the angiography, and then CT checks, can get the clearer photo after from one week to one month.
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Need inspection that carry on have in the intersection of radioactive rays and the intersection of image and biological chemical examination that go on study inspection and collect blood, that department carry on mainly in order to diagnose hepatocarcinoma.
The image learns to check
Supersonic wave is checked (US)
Supersonic wave check it is first-selected the intersection of method and the inspection method that need, pop one's head, locate in belly and chest supersonic wave, there is not any agony while checking, to diagnosing small hepatocarcinoma is an effective method.
It is the accurate X-ray image that studies one of the inspection methods, it is a painless and effective inspection method. Intravenous the intersection of bit and the intersection of radiography and pharmaceutical photograph the same according to the needs of sometimes the condition.
The nuclear magnetic resonance is checked (MRI)
This inspection method is a kind of painless inspection too, it is not so good as US and CT to discovery rate of less pathological change, but can with find out about property inside the tumour precise than US and CT, after not passing, checking, finding pathological change while being other, can make use of MRI to find out about the properties of tumour at the time of differential diagnosis.
The angiography is checked
It is a that ogy to nearby or internalthe properties of tumour at the time of differential diagnosis. Generally speaking check this kind to need to be in hospital, just carry on this kind of inspection while discovering the problems in other inspections.
Have already developed the new method to call DSA of dealing with the angiography data by the computer in recent years, it is apt to find more small liver cell cancer to utilize this kind of method. In addition, can also pour into oily radiography pharmaceutical which is called lipiodol while carrying on the angiography, and then CT checks, can get the clearer photo after from one week to one month.
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's general knowledge of cause of disease of hepatocarcinoma
's general knowledge of cause of disease of hepatocarcinoma
Up till now, the cause of disease of hepatocarcinoma is not very clear, but generally think now the following factors may relate to morbidity of hepatocarcinoma.
The relation between hepatopathy and hepatocarcinoma: Have noticing clinically the patient of hepatocarcinoma often has acute hepatitis at present Chronic hepatitis Medical history of cirrhosis. Analyze from the pathological angle, in the primary liver cell cancer patient, nearly have 50- 80% of the cases with cirrhosis: And in cover cell cancer on the bile duct of the primary hepatocarcinoma, there are 18.2- 50% of the cases with cirrhosis. This figure explains the close relation of these two kinds of diseases, hepatocarcinoma may be resulted from excessive regeneration of hepatocyte that liver cirrhosis cause. In addition it is antigenic (HBsAg) to the surface of hepatocarcinoma and patient's hepatitis B to pass Determination,positive rate last 81.82% in the that the patients HBsAgs when lasting hepatocarcinoma. This result seems to prove that has suffered from hepatitis B, but the relation between them, still remain to further study. But one point can affirm, prevent virus hepatitis, cirrhosis is very important to reducing the emergence of hepatocarcinoma.
Yellow aspergillus is and mould and plain: A large amount of scientific experimentation has already proved, use and contain the mould or his toxin's food of the yellow song, feed the experimental animal, can cause hepatocarcinoma of the animal. So someone thinks the south of Africa moister, the food incident goes mouldy less, the morbidity of hepatocarcinoma is lower too. The food that goes mouldy incident has rice, wheat, soybean, peanut, corn.
Other: Too much food which contain the inferior nitre amine compound of ingestion, parasitic disease (mainly carry the liver fluke namely Chinese branched testis fluke) .
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Up till now, the cause of disease of hepatocarcinoma is not very clear, but generally think now the following factors may relate to morbidity of hepatocarcinoma.
The relation between hepatopathy and hepatocarcinoma: Have noticing clinically the patient of hepatocarcinoma often has acute hepatitis at present Chronic hepatitis Medical history of cirrhosis. Analyze from the pathological angle, in the primary liver cell cancer patient, nearly have 50- 80% of the cases with cirrhosis: And in cover cell cancer on the bile duct of the primary hepatocarcinoma, there are 18.2- 50% of the cases with cirrhosis. This figure explains the close relation of these two kinds of diseases, hepatocarcinoma may be resulted from excessive regeneration of hepatocyte that liver cirrhosis cause. In addition it is antigenic (HBsAg) to the surface of hepatocarcinoma and patient's hepatitis B to pass Determination,positive rate last 81.82% in the that the patients HBsAgs when lasting hepatocarcinoma. This result seems to prove that has suffered from hepatitis B, but the relation between them, still remain to further study. But one point can affirm, prevent virus hepatitis, cirrhosis is very important to reducing the emergence of hepatocarcinoma.
Yellow aspergillus is and mould and plain: A large amount of scientific experimentation has already proved, use and contain the mould or his toxin's food of the yellow song, feed the experimental animal, can cause hepatocarcinoma of the animal. So someone thinks the south of Africa moister, the food incident goes mouldy less, the morbidity of hepatocarcinoma is lower too. The food that goes mouldy incident has rice, wheat, soybean, peanut, corn.
Other: Too much food which contain the inferior nitre amine compound of ingestion, parasitic disease (mainly carry the liver fluke namely Chinese branched testis fluke) .
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Tuesday, February 26, 2013
Radiation therapeutic effect _ treatment of hepatocarcinoma
Radiation therapeutic effect _ treatment of hepatocarcinoma
The radiotherapy is to utilize radioactive rays to shine to wound a therapeutic method of tumour cells. It takes nearly 40 years since reporting the hepatocarcinoma radiotherapy, go through the whole liver shine and part shine and the whole liver move piece shine and operation orient part, shine - exceed and cut apart changes of shining etc. accurately on the whole. According to studying at home, under the situation with minor all focus limitations, liver cirrhosis, it is accurate to radiate, cover the whole tumour as much as possible and and adopt less dosage, longer course of treatment, accumulate the total dosage foot
Big enough, amalgamate chemotherapy and traditional Chinese medicine treatment appropriately, curative effect is quite ideal. But will produce some to damage to human body's normal tissue while wounding tumour because of the radioactive rays, thus will produce certain bad reaction. As follows, mainly The digestive tract reacts, for instance disgusting and vomiting, receiving difference; The hematopoietic function is restrained
Make, for instance the leucocyte, blood platelet are reduced, infect and bleed etc.; Shine the skin of position to damage, such as peel etc.. Often adopt the treatment to the ill to that these bad reactions are clinical.
Its indication is: Tumour and trunk adhesion, amalgamating serious liver cirrhosis or other serious organic diseases and not fit for the surgery treatment, but the hepatocarcinoma patient of the tumour limitation.
Its disease of taboo is: Have jaundice, ascites, hepatocarcinoma or the intersection of left and half leaf hepatocarcinoma that distant place shift already, not fit for the radiotherapy.
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The radiotherapy is to utilize radioactive rays to shine to wound a therapeutic method of tumour cells. It takes nearly 40 years since reporting the hepatocarcinoma radiotherapy, go through the whole liver shine and part shine and the whole liver move piece shine and operation orient part, shine - exceed and cut apart changes of shining etc. accurately on the whole. According to studying at home, under the situation with minor all focus limitations, liver cirrhosis, it is accurate to radiate, cover the whole tumour as much as possible and and adopt less dosage, longer course of treatment, accumulate the total dosage foot
Big enough, amalgamate chemotherapy and traditional Chinese medicine treatment appropriately, curative effect is quite ideal. But will produce some to damage to human body's normal tissue while wounding tumour because of the radioactive rays, thus will produce certain bad reaction. As follows, mainly The digestive tract reacts, for instance disgusting and vomiting, receiving difference; The hematopoietic function is restrained
Make, for instance the leucocyte, blood platelet are reduced, infect and bleed etc.; Shine the skin of position to damage, such as peel etc.. Often adopt the treatment to the ill to that these bad reactions are clinical.
Its indication is: Tumour and trunk adhesion, amalgamating serious liver cirrhosis or other serious organic diseases and not fit for the surgery treatment, but the hepatocarcinoma patient of the tumour limitation.
Its disease of taboo is: Have jaundice, ascites, hepatocarcinoma or the intersection of left and half leaf hepatocarcinoma that distant place shift already, not fit for the radiotherapy.
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Regular therapeutic _'s treatment of hepatocarcinoma
Regular therapeutic _'s treatment of hepatocarcinoma
Regular treatment
1,Surgery treatment
No doubt, the surgery treatment is to treat the most effective method of hepatocarcinoma at present. Survival rate is more than 80% in one year after the early hepatocarcinoma operation is excised, survival rate is more than 50% in five years. Complement it by comprehensive treatments such as traditional Chinese medicine,etc. while being postoperative, can obtain better result.
Operation indication: Whole body is in sound condition, the renal function of heart and lungs is good, the person who receives operation of the ability; There is no obvious jaundice, ascites or extensive transformation person; The liver work is compensated well; Estimate pathological change limited to half liver but invade and the intersection of liver and the intersection of door and district or lower vena cava.
2,Artery thromboembolism chemotherapy of liver
Liver the intersection of artery and thromboembolism chemotherapy to inject into and examine and fill in thing and anticancer drugs in the nutritional vessel to tumour through conduit, make the blood flow through tumour cut off, regional anticancer drugs of thromboembolism is tall in density, make tumour dwindle or disappear. Even considered as the first-selected scheme not performing the operation in the method at present.
3,Radiotherapy
The radiotherapy narrows the cancer piece, relieve symptom, lengthen the function of the life, it is fair to mainly suitable for the whole body situation, the liver work is normal, the case that the lump limitation can't be excised.
4,Chemical drug therapy
The chemotherapy of single medicine, curative effect is very bad, survival rate is only 5.4% in one year, there is not any value. Unite chemotherapy, can obviously improve curative effect. The chemotherapy of intubate is superior to the chemotherapy of whole body, there is convincing curative effect even more in the chemotherapy of thromboembolism. Take the intersection of curative effect and fruit, far from ideal all over, have a medicine or it unites chemotherapy to be efficient to exceed 20% in scheme yet so far, can seldom also lengthen life cycle. Look for validity and more rational union chemotherapy scheme, it is one of the therapeutic subjects for research of hepatocarcinoma in the future.
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Regular treatment
1,Surgery treatment
No doubt, the surgery treatment is to treat the most effective method of hepatocarcinoma at present. Survival rate is more than 80% in one year after the early hepatocarcinoma operation is excised, survival rate is more than 50% in five years. Complement it by comprehensive treatments such as traditional Chinese medicine,etc. while being postoperative, can obtain better result.
Operation indication: Whole body is in sound condition, the renal function of heart and lungs is good, the person who receives operation of the ability; There is no obvious jaundice, ascites or extensive transformation person; The liver work is compensated well; Estimate pathological change limited to half liver but invade and the intersection of liver and the intersection of door and district or lower vena cava.
2,Artery thromboembolism chemotherapy of liver
Liver the intersection of artery and thromboembolism chemotherapy to inject into and examine and fill in thing and anticancer drugs in the nutritional vessel to tumour through conduit, make the blood flow through tumour cut off, regional anticancer drugs of thromboembolism is tall in density, make tumour dwindle or disappear. Even considered as the first-selected scheme not performing the operation in the method at present.
3,Radiotherapy
The radiotherapy narrows the cancer piece, relieve symptom, lengthen the function of the life, it is fair to mainly suitable for the whole body situation, the liver work is normal, the case that the lump limitation can't be excised.
4,Chemical drug therapy
The chemotherapy of single medicine, curative effect is very bad, survival rate is only 5.4% in one year, there is not any value. Unite chemotherapy, can obviously improve curative effect. The chemotherapy of intubate is superior to the chemotherapy of whole body, there is convincing curative effect even more in the chemotherapy of thromboembolism. Take the intersection of curative effect and fruit, far from ideal all over, have a medicine or it unites chemotherapy to be efficient to exceed 20% in scheme yet so far, can seldom also lengthen life cycle. Look for validity and more rational union chemotherapy scheme, it is one of the therapeutic subjects for research of hepatocarcinoma in the future.
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Early symptom and _ symptom of hepatocarcinoma
Early symptom and _ symptom of hepatocarcinoma
The manifestation in early days of the primary hepatocarcinoma is not very obvious, there is not a clear special respect, hepatocarcinoma treated experts to go on one kind of examples to analyze to the hepatocarcinoma patient, the conclusion drawn is that the main behavior when the hepatocarcinoma patient goes to a doctor has bloated pain, upper abdomen of liver district and has piece of bags, appetite failing, weak, becoming thin and abdominal distension etc.. The painless right upper abdomen wraps up the common physical sign that the piece is hepatocarcinoma. Later period hepatocarcinoma in patient has generally presented hepatocarcinoma to already belong to at the time of the above-mentioned typical clinical manifestation, as to the patient of the medical history of hepatitis, its complicated probability is greater, have a physical examination regularly, try to find as soon as possible hepatocarcinoma is the most desirable method, it is pain caused because it makes the liver wrap up the membrane tension to increase that tumour increases that the early hepatocarcinoma patient has liver districts that pains.
1,The liver district pains: Right the intersection of upper abdomen and the intersection of liver and district dull pain continuation primary important symptom of hepatocarcinoma, also the most common symptom. , it can be a dull pain or bloated pain of the continuation. Tumour infringes the skin of diaphragm, pain can be radiated and carried to right shouldered or right. Tumour growing after right can cause the right waist to pain. When cancerous swelling and tubercle break, cancer tissue and blood of necrosis can suffer from abdominal pain to flow into the abdominal cavity vigorously, symptom and physical sign of peritonitis take place. Until person who bleed can take place shock while being too much.
2,Hepatomegaly: It is the most common physical sign of primary hepatocarcinoma. It is swelling that the liver present more going ons, the quality is hard, the surface is not smooth, have tubercle not of uniform size or huge one, cause some puff, the edge is blunt and non- neat, often have tenderness.
3,Jaundice: Meet to 1/3 of the patients, happen in later period more, is caused by the fact that damage of the hepatocyte and hepatocarcinoma and lump oppress reasons such as the bile duct,etc..
4,Generate heat: It is generally low-heat, reaches over 39 occasionally, it can be the continuation low-heat or irregular intermittent hyperpyrexia.
5,Digestive tract and whole body symptom: , indigestion, disgusting, vomits, suffers from diarrhoea, weak, becomes thin, whole body is weak, cachexia that appetite fails. These symptoms are only easy to be ignored because of lacking the specificity.
6,Shift symptom of cooking stove: Hepatocarcinoma can shift and corresponding symptom appears to places such as the lung, bone, thorax, brain,etc., can be caused and coughed to spit blood to the lung such as shifting, the pleura can cause chest aching and courageous and upright chest water while shifting; It causes some pain or pathology fracture to the bone to shift; It can cause some pain and paraplegia etc. to transfer to the backbone or oppress the spinal nerve; Can present headache, vomits and nerve making a reservation physical sign to shift to the brain.
7,Other symptoms: Because cancerous swelling and metabolic disorder cause organism endocrine or disease group of the supersession, also call it companions cancer syndrome, can be prior to symptom of hepatocarcinoma sometimes. The common one is as follows,
Spontaneous hypoglycemia: 10%- 30% patient can appear, can malposition secrete insulin or the intersection of insulin and kinds of material because of hepatocyte, whether or hepatocarcinoma is organized consumes due to glucose too much. The serious one can cause going into a coma, shock even dying.
Erythrocyte increase disease: 2%- 10% of the patients can happen, may be that it is caused that the erythropoietin increases while circulating.
Other: Have high the intersection of lipoprotein and the intersection of blood and the intersection of disease and the intersection of hypercalcemia and disease still, kinds of the intersection of cancer and syndrome, early period such as sex, and gonadotropin secrete syndrome, the intersection of skin and the intersection of porphyrin and disease and unusual the intersection of fibrinogen and the intersection of blood and disease,etc., the unusual albumen formating, malposition endocrine and porphyrin supersession that may be organized with hepatocarcinoma are disorderly and relevant.
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The manifestation in early days of the primary hepatocarcinoma is not very obvious, there is not a clear special respect, hepatocarcinoma treated experts to go on one kind of examples to analyze to the hepatocarcinoma patient, the conclusion drawn is that the main behavior when the hepatocarcinoma patient goes to a doctor has bloated pain, upper abdomen of liver district and has piece of bags, appetite failing, weak, becoming thin and abdominal distension etc.. The painless right upper abdomen wraps up the common physical sign that the piece is hepatocarcinoma. Later period hepatocarcinoma in patient has generally presented hepatocarcinoma to already belong to at the time of the above-mentioned typical clinical manifestation, as to the patient of the medical history of hepatitis, its complicated probability is greater, have a physical examination regularly, try to find as soon as possible hepatocarcinoma is the most desirable method, it is pain caused because it makes the liver wrap up the membrane tension to increase that tumour increases that the early hepatocarcinoma patient has liver districts that pains.
1,The liver district pains: Right the intersection of upper abdomen and the intersection of liver and district dull pain continuation primary important symptom of hepatocarcinoma, also the most common symptom. , it can be a dull pain or bloated pain of the continuation. Tumour infringes the skin of diaphragm, pain can be radiated and carried to right shouldered or right. Tumour growing after right can cause the right waist to pain. When cancerous swelling and tubercle break, cancer tissue and blood of necrosis can suffer from abdominal pain to flow into the abdominal cavity vigorously, symptom and physical sign of peritonitis take place. Until person who bleed can take place shock while being too much.
2,Hepatomegaly: It is the most common physical sign of primary hepatocarcinoma. It is swelling that the liver present more going ons, the quality is hard, the surface is not smooth, have tubercle not of uniform size or huge one, cause some puff, the edge is blunt and non- neat, often have tenderness.
3,Jaundice: Meet to 1/3 of the patients, happen in later period more, is caused by the fact that damage of the hepatocyte and hepatocarcinoma and lump oppress reasons such as the bile duct,etc..
4,Generate heat: It is generally low-heat, reaches over 39 occasionally, it can be the continuation low-heat or irregular intermittent hyperpyrexia.
5,Digestive tract and whole body symptom: , indigestion, disgusting, vomits, suffers from diarrhoea, weak, becomes thin, whole body is weak, cachexia that appetite fails. These symptoms are only easy to be ignored because of lacking the specificity.
6,Shift symptom of cooking stove: Hepatocarcinoma can shift and corresponding symptom appears to places such as the lung, bone, thorax, brain,etc., can be caused and coughed to spit blood to the lung such as shifting, the pleura can cause chest aching and courageous and upright chest water while shifting; It causes some pain or pathology fracture to the bone to shift; It can cause some pain and paraplegia etc. to transfer to the backbone or oppress the spinal nerve; Can present headache, vomits and nerve making a reservation physical sign to shift to the brain.
7,Other symptoms: Because cancerous swelling and metabolic disorder cause organism endocrine or disease group of the supersession, also call it companions cancer syndrome, can be prior to symptom of hepatocarcinoma sometimes. The common one is as follows,
Spontaneous hypoglycemia: 10%- 30% patient can appear, can malposition secrete insulin or the intersection of insulin and kinds of material because of hepatocyte, whether or hepatocarcinoma is organized consumes due to glucose too much. The serious one can cause going into a coma, shock even dying.
Erythrocyte increase disease: 2%- 10% of the patients can happen, may be that it is caused that the erythropoietin increases while circulating.
Other: Have high the intersection of lipoprotein and the intersection of blood and the intersection of disease and the intersection of hypercalcemia and disease still, kinds of the intersection of cancer and syndrome, early period such as sex, and gonadotropin secrete syndrome, the intersection of skin and the intersection of porphyrin and disease and unusual the intersection of fibrinogen and the intersection of blood and disease,etc., the unusual albumen formating, malposition endocrine and porphyrin supersession that may be organized with hepatocarcinoma are disorderly and relevant.
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What _'s symptoms do surgery and clinical symptom of hepatocarcinoma have
What _'s symptoms do surgery and clinical symptom of hepatocarcinoma have
Hepatocarcinoma is fast growing, once clear clinical symptom appearedding not dealt with effectively, survive for time as half a year equally. Need setting out and can sum up clinical manifestation as the following types from surgery clinically.
1,Early hepatocarcinoma Early or inferior clinical hepatocarcinoma, tumour is small, is often concealing the position, the patient often has no symptom, find accidentally while just checking the body. The patient can have some non- specific behavior, the upper abdomen is uncomfortable, glutted, etc.
2,Typical clinic type hepatocarcinoma Patient have hepatitis medical history,HBsAg (+) ,The upper abdomen, bloated pain of the liver district are aggravated before going to a doctor, it is very after a meal particularly, failing with the appetite, became thin, depression; Check, find liver unsymmetry swelling, quality hard abnormality, increase fast. The patient often has obvious liver cirrhosis, portal vein hyperbarism, ascites, jaundice, evil liquid quality in later period.
3,Acute abdomen type Bleed or break, can cause acute abdominal pain or abdominal cavity's internal haemorrhage within hepatocarcinoma on the surface of cancer and tubercle. Common the intersection of liver and right the intersection of leaf and upper hepatocarcinoma break pain is aggravated cause chest, right the intersection of shoulder and dorsal pain under the right, rotate the body posture, breathe; Losing blood shock can happen to the abdominal cavity person to pierce through.
4,Fever and chills type Central necrosis of hepatocarcinoma can cause, generate heat, hepatocarcinoma patient can have a irregular one to be intermediate to generate heat later period.
5,Jaundice type Except that the hepatocarcinoma patient's jaundice, ascites, liver function are depleted to end and behave in later period, some patient better in general situation, volume of hepatocarcinoma big, CT fail, take the intersection of location and the intersection of and pathological change by find certainly sometimes, but can present the intermittent upper abdomen to ache and obstructive jaundice, may also be for not having aching obstructive jaundice of continuation sometimes, The cancer bolt is often with bleeding, cause gallbladder angina.
6,Bleeding type of digestive tract Lethal reason that it is often later period hepatocarcinoma that the digestive tract bleeds. Most of hepatocarcinoma happen on the basis of cirrhosis; Cirrhosis, portal vein high pressure, esophagus are variceal to break and can cause the upper digestive tract to bleed. But the digestive tract that hepatocarcinoma causes can pass several following respects while bleeding: It causes the acute door raising and digestive tract of venous pressure to bleed that the cancer bolt of portal vein is blocked. Tumour is broken routedly to internal haemorrhage of stomach, accidental huge one type hepatocarcinoma in the left leaf of liver directly. Bleed through biliary tract, and the intersection of tumour and internal haemorrhage break routed bile duct or hepatocarcinoma penetrate in bile duct growing, forming cancer bolting and bleeding in liver.
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Hepatocarcinoma is fast growing, once clear clinical symptom appearedding not dealt with effectively, survive for time as half a year equally. Need setting out and can sum up clinical manifestation as the following types from surgery clinically.
1,Early hepatocarcinoma Early or inferior clinical hepatocarcinoma, tumour is small, is often concealing the position, the patient often has no symptom, find accidentally while just checking the body. The patient can have some non- specific behavior, the upper abdomen is uncomfortable, glutted, etc.
2,Typical clinic type hepatocarcinoma Patient have hepatitis medical history,HBsAg (+) ,The upper abdomen, bloated pain of the liver district are aggravated before going to a doctor, it is very after a meal particularly, failing with the appetite, became thin, depression; Check, find liver unsymmetry swelling, quality hard abnormality, increase fast. The patient often has obvious liver cirrhosis, portal vein hyperbarism, ascites, jaundice, evil liquid quality in later period.
3,Acute abdomen type Bleed or break, can cause acute abdominal pain or abdominal cavity's internal haemorrhage within hepatocarcinoma on the surface of cancer and tubercle. Common the intersection of liver and right the intersection of leaf and upper hepatocarcinoma break pain is aggravated cause chest, right the intersection of shoulder and dorsal pain under the right, rotate the body posture, breathe; Losing blood shock can happen to the abdominal cavity person to pierce through.
4,Fever and chills type Central necrosis of hepatocarcinoma can cause, generate heat, hepatocarcinoma patient can have a irregular one to be intermediate to generate heat later period.
5,Jaundice type Except that the hepatocarcinoma patient's jaundice, ascites, liver function are depleted to end and behave in later period, some patient better in general situation, volume of hepatocarcinoma big, CT fail, take the intersection of location and the intersection of and pathological change by find certainly sometimes, but can present the intermittent upper abdomen to ache and obstructive jaundice, may also be for not having aching obstructive jaundice of continuation sometimes, The cancer bolt is often with bleeding, cause gallbladder angina.
6,Bleeding type of digestive tract Lethal reason that it is often later period hepatocarcinoma that the digestive tract bleeds. Most of hepatocarcinoma happen on the basis of cirrhosis; Cirrhosis, portal vein high pressure, esophagus are variceal to break and can cause the upper digestive tract to bleed. But the digestive tract that hepatocarcinoma causes can pass several following respects while bleeding: It causes the acute door raising and digestive tract of venous pressure to bleed that the cancer bolt of portal vein is blocked. Tumour is broken routedly to internal haemorrhage of stomach, accidental huge one type hepatocarcinoma in the left leaf of liver directly. Bleed through biliary tract, and the intersection of tumour and internal haemorrhage break routed bile duct or hepatocarcinoma penetrate in bile duct growing, forming cancer bolting and bleeding in liver.
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The family of hepatocarcinoma gathers and is inclined to _'s general knowledge
The family of hepatocarcinoma gathers and is inclined to _'s general knowledge
Modern medical science think 90% cause of disease of cancer the intersection of external cause and, heredity weight not accounted for minimum in cause of disease of tumour. Divided by close cancer of colon that disease develops from the occuring frequently interest of large intestine, skin carcinoma that leather disease develops into is substandard that the colouring dries, other cancers are thought not to have clear relation with the inherent cause more. Having families that several people suffered from hepatocarcinoma at the same time or successively as to those, due to ample and common living condition that perhaps, for example it is much more important than the inherent cause to be exposed to the factor of a certain carcinogen together. In other words, this can't be called heredity, this can only be thought to be that a kind of family gathers inclination. The members who has ever happened in one in patient's family of hepatocarcinoma, perhaps should watch out for this disease.
Why does hepatocarcinoma is there a kind of family to assemble and is inclined to? Most scholars think at present:
1,The spreading vertically of B-mode hepatitis virus. Mother infected and become the long-term person who carries virus by hepatitis B and virus, can pass the virus to the neonate after or gives a birth at the time of the childbirthing. Because the neonatal immunological function has not been sound yet, can't remove the virus and form and infect continuously effectively, so that chronic hepatitis, liver cirrhosis take place, develop into hepatocarcinoma finally.
2,The level of the B-mode hepatitis virus spreads. Hepatitis kinsfolks of patient keep in touch extremely close, have first infection hepatitis B and virus, very easy to bring disaster to other people unconsciously.
3,The eating habit, life style,etc. between whole family are basically the same too, the everybody's chance to exposed to the carcinogenic factor is basically equal too.
Hepatocarcinoma can not be hereditary, but why often many people suffer from hepatocarcinoma in whole family?
The medical circle proposes one to this " Attack the theory twice " . Its basic concept is, any cancer is that the result of mutation of twice takes place in the gene of cells. It was not family cancer patient that was distributed, these two changes both take place after being born in. And the cancer patient prone to family, before mother is pregnant, have already been attacked by the carcinogenic factor. Internal cell own to have one kind apt to take place change of cancer when they born, so long as suffered a blow of the carcinogenic factor after being born in, cancer may take place, so the chance to suffer from cancer is higher than common people. This is famous " Attack the theory twice " .
So, has had the hepatocarcinoma patient's families already, it is unnecessary for other members to consider the heredity of hepatocarcinoma too much, don't influence children's marriage question still more. However, should pay attention to the following several points:
1,Strengthen the prevention of hepatitis. Including paying attention to the personal hygiene: Avoid hepatitis disease goes in by the mouth; Popularize and inoculate vaccine of hepatitis B, especially the neonate given birth to of person who carries virus of hepatitis B should inoculate vaccine of hepatitis B even more.
2,Pay attention to dietetic hygiene. Do not eat the food going mouldy, improve the source of water, does not get drunk, not smoke etc..
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Modern medical science think 90% cause of disease of cancer the intersection of external cause and, heredity weight not accounted for minimum in cause of disease of tumour. Divided by close cancer of colon that disease develops from the occuring frequently interest of large intestine, skin carcinoma that leather disease develops into is substandard that the colouring dries, other cancers are thought not to have clear relation with the inherent cause more. Having families that several people suffered from hepatocarcinoma at the same time or successively as to those, due to ample and common living condition that perhaps, for example it is much more important than the inherent cause to be exposed to the factor of a certain carcinogen together. In other words, this can't be called heredity, this can only be thought to be that a kind of family gathers inclination. The members who has ever happened in one in patient's family of hepatocarcinoma, perhaps should watch out for this disease.
Why does hepatocarcinoma is there a kind of family to assemble and is inclined to? Most scholars think at present:
1,The spreading vertically of B-mode hepatitis virus. Mother infected and become the long-term person who carries virus by hepatitis B and virus, can pass the virus to the neonate after or gives a birth at the time of the childbirthing. Because the neonatal immunological function has not been sound yet, can't remove the virus and form and infect continuously effectively, so that chronic hepatitis, liver cirrhosis take place, develop into hepatocarcinoma finally.
2,The level of the B-mode hepatitis virus spreads. Hepatitis kinsfolks of patient keep in touch extremely close, have first infection hepatitis B and virus, very easy to bring disaster to other people unconsciously.
3,The eating habit, life style,etc. between whole family are basically the same too, the everybody's chance to exposed to the carcinogenic factor is basically equal too.
Hepatocarcinoma can not be hereditary, but why often many people suffer from hepatocarcinoma in whole family?
The medical circle proposes one to this " Attack the theory twice " . Its basic concept is, any cancer is that the result of mutation of twice takes place in the gene of cells. It was not family cancer patient that was distributed, these two changes both take place after being born in. And the cancer patient prone to family, before mother is pregnant, have already been attacked by the carcinogenic factor. Internal cell own to have one kind apt to take place change of cancer when they born, so long as suffered a blow of the carcinogenic factor after being born in, cancer may take place, so the chance to suffer from cancer is higher than common people. This is famous " Attack the theory twice " .
So, has had the hepatocarcinoma patient's families already, it is unnecessary for other members to consider the heredity of hepatocarcinoma too much, don't influence children's marriage question still more. However, should pay attention to the following several points:
1,Strengthen the prevention of hepatitis. Including paying attention to the personal hygiene: Avoid hepatitis disease goes in by the mouth; Popularize and inoculate vaccine of hepatitis B, especially the neonate given birth to of person who carries virus of hepatitis B should inoculate vaccine of hepatitis B even more.
2,Pay attention to dietetic hygiene. Do not eat the food going mouldy, improve the source of water, does not get drunk, not smoke etc..
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Surgery effecting a radical cure surgery _'s treatment of hepatocarcinoma
Surgery effecting a radical cure surgery _'s treatment of hepatocarcinoma
Person who effect a radical cure excision mean tumour excise completely and the intersection of I and liver have incomplete cancer, door pulse have a cancer bolt, AFP turn overcast without replying the male genital in postoperative 2 months, the image learns to check and has not seen tumour take place remainingly and again. There is about 50% more survival rate its 5 of literature report. The operation ascertains indication and taboo card As follows:
(1) Ascertain indication
1,The liver really has substances that takes pathological change in the location: Ultrasonography B, CT, MRI image learn, check, brief liver on, have substance account for location, limited to one leaf of liver and have distant place shift, there are persons who excises possible or still feasible condoning surgical treatment.
2,The effecting a radical cure postoperative recurring hepatocarcinoma relatively limited of excision, estimate that excises the possible ones.
3,After complex treatment, tumour obviously dwindles, estimate that excises the possible ones.
Liver function is normal or is in compensating one. The total albumen of blood plasma, about 60g/L, the plasma albumin is greater than 30g/L, the total egg of serum
It is in a ratio of 3-2 with globulin that white: 1,GPT is normal (it can be slightly high sometimes, it is worth more than 1 time normally but not exceed) ,Blood coagulation
The time of zymogen is worth more than 50% normally; There are no depleted yellow subcutaneous ulcer, ascites, lower extremities edema that caused of liver function.
Oppress obstructive jaundice that the biliary tract causes to hepatocarcinoma that the first liver door is smaller, in specific cases, can still consider the operation ascertains
,If tumour can be excised better, if is unable to excise for the moment, feasible condoning operation, wait for tumour dwindle, oppression relieve, jaundice disappear, consider, excise skill while being the second stage of and then.
Do not have other taboo cards, such as serious heart, lung, kidney, disease in the blood system, diabetes,etc. not controlled.
(2) Taboo card
1. Tumour is too big, I have less liver.
2. Tumour is sown extensively scatteredly or breaks up in the many tubercles type.
3. The portal vein backbone has cancer bolts.
4. There is extensive person who shifts distant place.
5. Liver function is lost, compensated, the person who has obvious yellow subcutaneous ulcer, ascites, cachexia.
6. Serious heart, lung, renal function obstacle, it is unable to tolerate the person who ascertains operation.
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Person who effect a radical cure excision mean tumour excise completely and the intersection of I and liver have incomplete cancer, door pulse have a cancer bolt, AFP turn overcast without replying the male genital in postoperative 2 months, the image learns to check and has not seen tumour take place remainingly and again. There is about 50% more survival rate its 5 of literature report. The operation ascertains indication and taboo card As follows:
(1) Ascertain indication
1,The liver really has substances that takes pathological change in the location: Ultrasonography B, CT, MRI image learn, check, brief liver on, have substance account for location, limited to one leaf of liver and have distant place shift, there are persons who excises possible or still feasible condoning surgical treatment.
2,The effecting a radical cure postoperative recurring hepatocarcinoma relatively limited of excision, estimate that excises the possible ones.
3,After complex treatment, tumour obviously dwindles, estimate that excises the possible ones.
Liver function is normal or is in compensating one. The total albumen of blood plasma, about 60g/L, the plasma albumin is greater than 30g/L, the total egg of serum
It is in a ratio of 3-2 with globulin that white: 1,GPT is normal (it can be slightly high sometimes, it is worth more than 1 time normally but not exceed) ,Blood coagulation
The time of zymogen is worth more than 50% normally; There are no depleted yellow subcutaneous ulcer, ascites, lower extremities edema that caused of liver function.
Oppress obstructive jaundice that the biliary tract causes to hepatocarcinoma that the first liver door is smaller, in specific cases, can still consider the operation ascertains
,If tumour can be excised better, if is unable to excise for the moment, feasible condoning operation, wait for tumour dwindle, oppression relieve, jaundice disappear, consider, excise skill while being the second stage of and then.
Do not have other taboo cards, such as serious heart, lung, kidney, disease in the blood system, diabetes,etc. not controlled.
(2) Taboo card
1. Tumour is too big, I have less liver.
2. Tumour is sown extensively scatteredly or breaks up in the many tubercles type.
3. The portal vein backbone has cancer bolts.
4. There is extensive person who shifts distant place.
5. Liver function is lost, compensated, the person who has obvious yellow subcutaneous ulcer, ascites, cachexia.
6. Serious heart, lung, renal function obstacle, it is unable to tolerate the person who ascertains operation.
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The surgery of hepatocarcinoma treats _'s treatment
The surgery of hepatocarcinoma treats _'s treatment
The surgery is a method to treat the primary hepatocarcinoma. If only a part of liver has cancerous swelling, other components are in sound condition, and unhardened, the doctor will consider having an operation, excise the component of cancerous swelling, being called the liver and excised if excises a leaf liver among them, called the leaf to excise. The liver has surprising self- repair ability. Even cut 3/4, can regrow rapidly. Because hepatocarcinoma has illness coming on and relatively hides, find that belong to more later period, has already lost the best time for operation, adopt therapy of combining traditional Chinese and Western medicine more.
1.Surgery therapeutic method of hepatocarcinoma
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years. The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function.
Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. As to developing country, still difficult to popularize in recent years because of supporting body source and expense question.
2.Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, it liver method artery ligature sum (or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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The surgery is a method to treat the primary hepatocarcinoma. If only a part of liver has cancerous swelling, other components are in sound condition, and unhardened, the doctor will consider having an operation, excise the component of cancerous swelling, being called the liver and excised if excises a leaf liver among them, called the leaf to excise. The liver has surprising self- repair ability. Even cut 3/4, can regrow rapidly. Because hepatocarcinoma has illness coming on and relatively hides, find that belong to more later period, has already lost the best time for operation, adopt therapy of combining traditional Chinese and Western medicine more.
1.Surgery therapeutic method of hepatocarcinoma
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years. The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function.
Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. As to developing country, still difficult to popularize in recent years because of supporting body source and expense question.
2.Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, it liver method artery ligature sum (or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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The microwave solidification of hepatocarcinoma treats _'s treatment
The microwave solidification of hepatocarcinoma treats _'s treatment
Microwave it treats mechanisms to be the energy transformation heat energy of microwave, that is to heat the liver and organize organizing with tumour by vibration of the polar member, especially moisture son while organizing, to cause the hyperpyrexia in the target region, make tumour organize solidifying, necrosis, achieve the purpose that deactivating in situ and part effects a radical cure. Divided into from the cover, surgery and the lower microwave solidification treatment of peritoneoscope. Adapt to card and taboo card: It is generally acknowledged, liver tumour patient who mainly applied to surgical indication, including:
Worse and difficulter persons who tolerate the operation of whole body situation;
But the difficult persons who remove completely of operation of cooking stove of the frequently-occurring disease;
Tumour nears trunk or important bile duct but the greater one of difficulty of operation;
The unwilling to undergo an operation therapeutically one;
The liver cirrhosis intensity is serious and it is difficult to bear the person who excises skill of liver;
Hepatocarcinoma recur and incomplete liver getting little behind the operation; The big hepatocarcinoma unable to perform the operation to excise is too one of the indication of the microwave with therapeutic solidification, but if the diameter gt of tumour; 5.0cm, must overlap solidification, treat in order to solidify tumour completely by many places, many times.
So, most surgeons will adapt to the card and limit: Send or continue hair liver tumour, diameter lt of the focus originally; 5.0cm, the number lt of the focus; 4, amalgamate outside liver shifting, having no pulse cancer bolt of door. But as the condoning treatment, adapting to the card can be relaxed appropriately. The taboo card includes: Severe yellow disease, ascites person; The serious liver renal function is damaged; Cachexia; Infect activity one; The function obstacle of blood coagulation has happened in the ones that have not corrected; Gestation, enormous hepatocarcinoma or filling the air hepatocarcinoma.
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Microwave it treats mechanisms to be the energy transformation heat energy of microwave, that is to heat the liver and organize organizing with tumour by vibration of the polar member, especially moisture son while organizing, to cause the hyperpyrexia in the target region, make tumour organize solidifying, necrosis, achieve the purpose that deactivating in situ and part effects a radical cure. Divided into from the cover, surgery and the lower microwave solidification treatment of peritoneoscope. Adapt to card and taboo card: It is generally acknowledged, liver tumour patient who mainly applied to surgical indication, including:
Worse and difficulter persons who tolerate the operation of whole body situation;
But the difficult persons who remove completely of operation of cooking stove of the frequently-occurring disease;
Tumour nears trunk or important bile duct but the greater one of difficulty of operation;
The unwilling to undergo an operation therapeutically one;
The liver cirrhosis intensity is serious and it is difficult to bear the person who excises skill of liver;
Hepatocarcinoma recur and incomplete liver getting little behind the operation; The big hepatocarcinoma unable to perform the operation to excise is too one of the indication of the microwave with therapeutic solidification, but if the diameter gt of tumour; 5.0cm, must overlap solidification, treat in order to solidify tumour completely by many places, many times.
So, most surgeons will adapt to the card and limit: Send or continue hair liver tumour, diameter lt of the focus originally; 5.0cm, the number lt of the focus; 4, amalgamate outside liver shifting, having no pulse cancer bolt of door. But as the condoning treatment, adapting to the card can be relaxed appropriately. The taboo card includes: Severe yellow disease, ascites person; The serious liver renal function is damaged; Cachexia; Infect activity one; The function obstacle of blood coagulation has happened in the ones that have not corrected; Gestation, enormous hepatocarcinoma or filling the air hepatocarcinoma.
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The surgery of hepatocarcinoma treats _'s treatment
The surgery of hepatocarcinoma treats _'s treatment
The surgery is a method to treat the primary hepatocarcinoma. If only a part of liver has cancerous swelling, other components are in sound condition, and unhardened, the doctor will consider having an operation, excise the component of cancerous swelling, being called the liver and excised if excises a leaf liver among them, called the leaf to excise. The liver has surprising self- repair ability. Even cut 3/4, can regrow rapidly. Because hepatocarcinoma has illness coming on and relatively hides, find that belong to more later period, has already lost the best time for operation, adopt therapy of combining traditional Chinese and Western medicine more.
1.Surgery therapeutic method of hepatocarcinoma
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years. The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function.
Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. As to developing country, still difficult to popularize in recent years because of supporting body source and expense question.
2.Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, it have method liver artery ligature sum (or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
|
The surgery is a method to treat the primary hepatocarcinoma. If only a part of liver has cancerous swelling, other components are in sound condition, and unhardened, the doctor will consider having an operation, excise the component of cancerous swelling, being called the liver and excised if excises a leaf liver among them, called the leaf to excise. The liver has surprising self- repair ability. Even cut 3/4, can regrow rapidly. Because hepatocarcinoma has illness coming on and relatively hides, find that belong to more later period, has already lost the best time for operation, adopt therapy of combining traditional Chinese and Western medicine more.
1.Surgery therapeutic method of hepatocarcinoma
The treating, still excising for being first-selected by surgery of hepatocarcinoma, it is the key to improving survival rate to excise in early days, the less tumour is, survival rate is the higher in five years. The card is that the operation adapts to:
Diagnose clear, estimate pathological change limited to one leaf or half liver person;
There is no obvious jaundice, ascites or person who shifts distant place;
Liver function is compensated fairly, the person who doesn't lower than 50% of time of thrombese;
Heart, liver, person who tolerates renal function.
Do not exceed 70% in the excising amount of liver of the normal one of liver function; Intermediate liver cirrhosis person exceed 50%, only can make left half liver, excise; Serious liver cirrhosis person can't do the lobe of the liver to excise. Operation and pathology verify about 80% more than hepatocarcinoma amalgamate liver cirrhosis, generally acknowledge with part excising, replacing the intersection of systematicness and lobe of the liver, it excises the perpetual result to be same, and postoperative liver function is lightened disorderlily, the mortality of operation is also reduced. Because of effect a radical cure, excise still have quite high recurring rate, should reexamine AFP and supersound to show alikely by monitor and recursing regularly while being postoperative.
Effect a radical cure, excise, follow up a case by regular visits to closely while being postoperative, so often measure " inferior clinical one " The small hepatocarcinoma recuring, it is first-selected to regard performing the operation again as, the second operation survival rate of the next five years can still reach 38.7%. Although liver transplantation skill can yet be regarded as a method to treat hepatocarcinoma, there are more foreign reports, but the position in treating hepatocarcinoma has not been verified for a long time, the application of postoperative long-term immune inhibitor, the patient often dies from and recurs. As to developing country, still difficult to popularize in recent years because of supporting body source and expense question.
2.Condoning surgical treatment
Suitable for great tumour or come loose, distribute or close to the intersection of trunk and district, amalgamate liver cirrhosis, limit but unable person who excise, it have method liver artery ligature sum (or) Artery intubate chemotherapy of liver, freezing, laser treatment, microwave treatment, injection,etc. in liver artery thromboembolism treatment or absolute alcohol tumour in the skill, can make tumour dwindle sometimes, serum AFP drops, offers the chance that two steps are excised.
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Monday, February 25, 2013
Pathogenic factors of hepatocarcinoma are mostly caused by diet
Pathogenic factors of hepatocarcinoma are mostly caused by diet
In every emporium and some supermarkets, we can see that there is variousFood of speed of fast foodSupply,there are fast for rhythm the products of life on this. The modern's rhythm of life is accelerated day by day, the food of speed is with the simple and swift life of coming into the modern quickly of characteristic, but the gradual one is detrimental to health at the same time.
The morbidity of hepatocarcinoma is rising rapidly in recent years, find the reason is that modern's unhealthy diet causes after through the investigation, the food of speed that a lot of people depended on for existence is the factor of bringing out hepatocarcinoma. In addition, there is production that a lot of bad eating habits will all cause hepatocarcinoma in daily life, just we are negligent of paying close attention to, which unhealthy factors will bring out hepatocarcinoma besides food of speed?
1.Wine:
" drink and injure the liver " ,This a lot of reason that people know, supersession product acetic aldehyde contained enter the human body in alcohol, it was our liver that injured at first, if drinking in a large amount for a long time, besides will bring out liver of alcohol, fatty liver ing, the serious one may bring out alcohol hepatitis, liver cirrhosis even hepatocarcinoma,etc. disease, so when drinking must right amount of,when be can drink try not to drink.
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In every emporium and some supermarkets, we can see that there is variousFood of speed of fast foodSupply,there are fast for rhythm the products of life on this. The modern's rhythm of life is accelerated day by day, the food of speed is with the simple and swift life of coming into the modern quickly of characteristic, but the gradual one is detrimental to health at the same time.
The morbidity of hepatocarcinoma is rising rapidly in recent years, find the reason is that modern's unhealthy diet causes after through the investigation, the food of speed that a lot of people depended on for existence is the factor of bringing out hepatocarcinoma. In addition, there is production that a lot of bad eating habits will all cause hepatocarcinoma in daily life, just we are negligent of paying close attention to, which unhealthy factors will bring out hepatocarcinoma besides food of speed?
1.Wine:
" drink and injure the liver " ,This a lot of reason that people know, supersession product acetic aldehyde contained enter the human body in alcohol, it was our liver that injured at first, if drinking in a large amount for a long time, besides will bring out liver of alcohol, fatty liver ing, the serious one may bring out alcohol hepatitis, liver cirrhosis even hepatocarcinoma,etc. disease, so when drinking must right amount of,when be can drink try not to drink.
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Initial symptom and _ symptom of hepatocarcinoma
Initial symptom and _ symptom of hepatocarcinoma
Hepatocarcinoma get up disease hide relatively, early to have any symptom generally, when the patient present obvious clinical symptom, later period in the condition has often already belonged to. The typical symptom incidence of hepatocarcinoma reports both at home and abroad it is basically the same, it is the most common that it firsts publish symptom and pains with the liver district, secondly it is the upper abdomen that wraps up the piece. Receive difference, be weak, become thin, the reason is unidentified generates heat, suffers from diarrhoea, suffers from abdominal pain. The right shoulder aches etc.. Also there are some complications that some patients are shown as liver cirrhosis, if is black and spittinging blood. Jaundice,etc.. But people's institute of symptoms arising from shifting the cooking stove of a few patients, these symptoms are too many to have particularity. Mainly introduce on some common symptoms of hepatocarcinoma below. The liver district pains The hepatocarcinoma patient pains as firsting publish symptom with the liver district in later period in the overwhelming majority, the incidence exceeds 50%. The liver district pains and generally lies under right flank or ensiform process, pain properties are the intermission or continuation secret anguish. Dull pain or shouting pain, pain is for the previous period, the patient can feel right upper abdomen is uncomfortable. Pain can be sometimes light and sometimes serious or relieves by oneself in a short time. Mainly tumour increases rapidly for the reason why pain produces, oppressing the liver wraps up the membrane, produce and pull aching, can also result from the reason that the necrosis thing of tumour stimulates the liver to wrap up the membrane. A few patients appeared in the liver district to pain vigorously suddenly spontaneously or after the liver is punctured, mostly caused by the fact that cancer and tubercle lying in the surface of liver break and bleed. If drop with blood pressure, the manifestation of the shock at the same time, the abdominal cavity punctures courageous and upright liquid, prove cancer and tubercle break and bleed seriously. It needs to rescue promptly to meet this situation. Except for above-mentioned companion send symptom, the intersection of pain and limitation comparatively, indicate, bleed, lie liver make under the membrane. Pain can be changed to some extent because the position where tumour grows is different, lie in tumour of the left leaf, often the upper abdomen pain in causing; Lie in tumour of the right leaf, pain is in the right flank in season; It involve tumour it is horizontal through when,radiate pain to shoulders or backs right right, easy to be think by shoulder arthritis by mistake; Tumour lie in Duan Shi behind the right leaf, can cause pain in the back sometimes; The person who lies in deep department of the liver essence of tumour, generally seldom feel pain. Digestive tract symptom The appetite drops, the upper abdomen after a meal is glutted. Dim air, indigestion, nausea,etc. are hepatocarcinoma and common digestive tract symptom, among them fail with the appetite and abdominal distension is most common. It is hepatocarcinoma and comparatively common digestive tract symptom too to suffer from diarrhoea, there are reports both at home and abroad, the incidence is relatively high, it is apt to be thought by mistake chronic enteritis. Portal vein or portal vein high pressure and intestines function disorder due to the intravenous cancer bolts of liver can cause the abdominal distension, number of times of stool to increase, abdominal distension is also very caused by ascites. The function disorder of intestines and stomach can also cause symptoms such as the indigestion, dim air, nausea,etc.. Generate heat Quite a few of hepatocarcinoma patients will sweat, generate heat. The majority generates heat and generates heat in order to hit the minuent, a few patients can be the hyperpyrexia, at over 39 , seldom with the shiver with cold. The tumour patient because resistance is low, very apt to amalgamate and infect, can also generate heat, with the difficult difference of generating heat sometimes of cancer of hepatocarcinoma, need to combine the blood alike and observing that antibacterial to treat to effective judge. It is weak to become thin The hepatocarcinoma patient, often other tumour patients feel weaker, this is similar to chronic hepatitis patient. The weak reason is not clear, perhaps because disorders of digestion, nutrition absorb the obstacle to cause energy to be insufficient, or damage the hepatocyte, liver function drops, make supersession obstacle, some toxin unable to deactivate in time, or because hepatocarcinoma organize necrosis to release the noxious substance. It is a common symptom of the hepatocarcinoma patient too to become thin, because liver function is damaged. Digest and assimilate due to function decline. With the development of condition, become thin the intensity can be aggravated, present the cachexia when being serious. Lower extremities edema Hepatocarcinoma accompanies the patient of the ascites, often have lower extremities edema, the lighter happens on the ankle, the serious one can spread to the whole lower extremities. Has seen the high edema of lower extremities of some patients on clinic, water liquid can be oozed out from the skin of thigh. Lead to the fact the main reason why the lower extremities are hydropic is that the water pressure of belly compels the lower extremities intravenously or the cancer bolt is blocked, make the vein reflux obstructed. Slight edema also but because the plasma albumin is too low due to. Inclination of bleeding Hepatocarcinoma patient have the intersection of gingivae and bleed, the intersection of skin and lay ecchymosis the intersection of bleeding and inclination, damage because of liver function mainly, blood coagulation function unusually due to often, it particularly see more in hepatocarcinoma amalgamates the patient of liver cirrhosis. It is comparatively common that the digestive tract bleeds, mainly caused by the fact that the portal vein causes the oesophageal fundus of stomach to be variceal under high pressure. In fact, it is a main reason for patient's death of hepatocarcinoma too that the digestive tract bleeds.
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Hepatocarcinoma get up disease hide relatively, early to have any symptom generally, when the patient present obvious clinical symptom, later period in the condition has often already belonged to. The typical symptom incidence of hepatocarcinoma reports both at home and abroad it is basically the same, it is the most common that it firsts publish symptom and pains with the liver district, secondly it is the upper abdomen that wraps up the piece. Receive difference, be weak, become thin, the reason is unidentified generates heat, suffers from diarrhoea, suffers from abdominal pain. The right shoulder aches etc.. Also there are some complications that some patients are shown as liver cirrhosis, if is black and spittinging blood. Jaundice,etc.. But people's institute of symptoms arising from shifting the cooking stove of a few patients, these symptoms are too many to have particularity. Mainly introduce on some common symptoms of hepatocarcinoma below. The liver district pains The hepatocarcinoma patient pains as firsting publish symptom with the liver district in later period in the overwhelming majority, the incidence exceeds 50%. The liver district pains and generally lies under right flank or ensiform process, pain properties are the intermission or continuation secret anguish. Dull pain or shouting pain, pain is for the previous period, the patient can feel right upper abdomen is uncomfortable. Pain can be sometimes light and sometimes serious or relieves by oneself in a short time. Mainly tumour increases rapidly for the reason why pain produces, oppressing the liver wraps up the membrane, produce and pull aching, can also result from the reason that the necrosis thing of tumour stimulates the liver to wrap up the membrane. A few patients appeared in the liver district to pain vigorously suddenly spontaneously or after the liver is punctured, mostly caused by the fact that cancer and tubercle lying in the surface of liver break and bleed. If drop with blood pressure, the manifestation of the shock at the same time, the abdominal cavity punctures courageous and upright liquid, prove cancer and tubercle break and bleed seriously. It needs to rescue promptly to meet this situation. Except for above-mentioned companion send symptom, the intersection of pain and limitation comparatively, indicate, bleed, lie liver make under the membrane. Pain can be changed to some extent because the position where tumour grows is different, lie in tumour of the left leaf, often the upper abdomen pain in causing; Lie in tumour of the right leaf, pain is in the right flank in season; It involve tumour it is horizontal through when,radiate pain to shoulders or backs right right, easy to be think by shoulder arthritis by mistake; Tumour lie in Duan Shi behind the right leaf, can cause pain in the back sometimes; The person who lies in deep department of the liver essence of tumour, generally seldom feel pain. Digestive tract symptom The appetite drops, the upper abdomen after a meal is glutted. Dim air, indigestion, nausea,etc. are hepatocarcinoma and common digestive tract symptom, among them fail with the appetite and abdominal distension is most common. It is hepatocarcinoma and comparatively common digestive tract symptom too to suffer from diarrhoea, there are reports both at home and abroad, the incidence is relatively high, it is apt to be thought by mistake chronic enteritis. Portal vein or portal vein high pressure and intestines function disorder due to the intravenous cancer bolts of liver can cause the abdominal distension, number of times of stool to increase, abdominal distension is also very caused by ascites. The function disorder of intestines and stomach can also cause symptoms such as the indigestion, dim air, nausea,etc.. Generate heat Quite a few of hepatocarcinoma patients will sweat, generate heat. The majority generates heat and generates heat in order to hit the minuent, a few patients can be the hyperpyrexia, at over 39 , seldom with the shiver with cold. The tumour patient because resistance is low, very apt to amalgamate and infect, can also generate heat, with the difficult difference of generating heat sometimes of cancer of hepatocarcinoma, need to combine the blood alike and observing that antibacterial to treat to effective judge. It is weak to become thin The hepatocarcinoma patient, often other tumour patients feel weaker, this is similar to chronic hepatitis patient. The weak reason is not clear, perhaps because disorders of digestion, nutrition absorb the obstacle to cause energy to be insufficient, or damage the hepatocyte, liver function drops, make supersession obstacle, some toxin unable to deactivate in time, or because hepatocarcinoma organize necrosis to release the noxious substance. It is a common symptom of the hepatocarcinoma patient too to become thin, because liver function is damaged. Digest and assimilate due to function decline. With the development of condition, become thin the intensity can be aggravated, present the cachexia when being serious. Lower extremities edema Hepatocarcinoma accompanies the patient of the ascites, often have lower extremities edema, the lighter happens on the ankle, the serious one can spread to the whole lower extremities. Has seen the high edema of lower extremities of some patients on clinic, water liquid can be oozed out from the skin of thigh. Lead to the fact the main reason why the lower extremities are hydropic is that the water pressure of belly compels the lower extremities intravenously or the cancer bolt is blocked, make the vein reflux obstructed. Slight edema also but because the plasma albumin is too low due to. Inclination of bleeding Hepatocarcinoma patient have the intersection of gingivae and bleed, the intersection of skin and lay ecchymosis the intersection of bleeding and inclination, damage because of liver function mainly, blood coagulation function unusually due to often, it particularly see more in hepatocarcinoma amalgamates the patient of liver cirrhosis. It is comparatively common that the digestive tract bleeds, mainly caused by the fact that the portal vein causes the oesophageal fundus of stomach to be variceal under high pressure. In fact, it is a main reason for patient's death of hepatocarcinoma too that the digestive tract bleeds.
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General knowledge of _ in close relation with hepatitis of emergence of hepatocarcinoma
General knowledge of _ in close relation with hepatitis of emergence of hepatocarcinoma
Hepatocarcinoma common malignant tumour most one of in the world, find later period belong to already, difficult to cure. At present, the treatment of this kind of patient mainly adopt the chemotherapy of whole body, isolates the liver artery and pours into chemotherapy etc. continuously. The therapeutic method is not only costly, but also bring the great agony to disease patient. The chemotherapy medicine damages greater to normal cells while killing cancer cell; Liver transplantation arranges the different response and often fails.
According to the introduction of relevant experts, the person who carries hepatitis B of our country is numerous, probably have 10% of the proportions, the patient of hepatopathy is not less than 300,000 people to die later period every year. Hepatitis patient develop hepatopathy into to cause three major disease of death include later period liver cirrhosis, serious the intersection of disease and hepatitis and hepatocarcinoma later period.
The morbidity of hepatocarcinoma relates to the fact that hepatitis is infected, there are data that reveal, there are 85% that amalgamate hepatitis B or hepatitis C in the hepatocarcinoma patient of our country, seldom have some people do not have hepatitis that will suffer from hepatocarcinoma too. Find in the clinical work, hepatocarcinoma happens to the middle-aged person more.
Hepatocarcinoma have subjective symptoms to be very difficult to find in early days
Patient of hepatocarcinoma very perplexed and alarmed make a definite diagnosis of, a lot of later period, common the intersection of glory and personage suffer from hepatocarcinoma in films and television programs, the liver district is difficult to pain to bear, why not feel oneself. In fact the liver is from the canceration to appear between clinical symptom, should be for some time, from about half a year to one year, so early patients of hepatocarcinoma do not have any feeling, it is very difficult to find to be early. The hepatitis patient, only through checking the body, hepatocarcinoma mark first fetus globulin (AFP) regularly Can be diagnosed with Ultrasonography B in early days. Just go to a doctor after 80% of the hepatocarcinoma patients present subjective symptoms, in fact the condition, to later period. Typical symptom of paining etc. that hepatocarcinoma will not present losing the appetite, becoming thin, ascites, abdominal distension, liver district in later period. Generally speaking present clinical symptom from the patient, find tumour, to pass away, the majority has 3 months only until half a year.
Certain advantage that there is hepatocarcinoma of later period of traditional Chinese medicine treatment
Traditional Chinese medicine that the doctor of traditional Chinese medicine should be can both support get rid of evils anding, let the organism produce defying and increasing the immunity, eliminate the cancer cell. Can make some hepatocarcinoma patients relieve the disease, lengthen the life-span.
In our country, it is 9 to 1 that the proportions of men and women of liver cirrhosis take place, the male probability of hepatocarcinoma far exceeds women.
The expert reminds at the same time, hepatocarcinoma is malignant degree of a kind of higher tumourses, find that can cure completely in early days. The fixed physical examination is an effective method to find in early days, especially those patients who suffer from liver diseases such as hepatitis,etc., you had better carry on a pointed physical examination to the hospital every three months.
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Hepatocarcinoma common malignant tumour most one of in the world, find later period belong to already, difficult to cure. At present, the treatment of this kind of patient mainly adopt the chemotherapy of whole body, isolates the liver artery and pours into chemotherapy etc. continuously. The therapeutic method is not only costly, but also bring the great agony to disease patient. The chemotherapy medicine damages greater to normal cells while killing cancer cell; Liver transplantation arranges the different response and often fails.
According to the introduction of relevant experts, the person who carries hepatitis B of our country is numerous, probably have 10% of the proportions, the patient of hepatopathy is not less than 300,000 people to die later period every year. Hepatitis patient develop hepatopathy into to cause three major disease of death include later period liver cirrhosis, serious the intersection of disease and hepatitis and hepatocarcinoma later period.
The morbidity of hepatocarcinoma relates to the fact that hepatitis is infected, there are data that reveal, there are 85% that amalgamate hepatitis B or hepatitis C in the hepatocarcinoma patient of our country, seldom have some people do not have hepatitis that will suffer from hepatocarcinoma too. Find in the clinical work, hepatocarcinoma happens to the middle-aged person more.
Hepatocarcinoma have subjective symptoms to be very difficult to find in early days
Patient of hepatocarcinoma very perplexed and alarmed make a definite diagnosis of, a lot of later period, common the intersection of glory and personage suffer from hepatocarcinoma in films and television programs, the liver district is difficult to pain to bear, why not feel oneself. In fact the liver is from the canceration to appear between clinical symptom, should be for some time, from about half a year to one year, so early patients of hepatocarcinoma do not have any feeling, it is very difficult to find to be early. The hepatitis patient, only through checking the body, hepatocarcinoma mark first fetus globulin (AFP) regularly Can be diagnosed with Ultrasonography B in early days. Just go to a doctor after 80% of the hepatocarcinoma patients present subjective symptoms, in fact the condition, to later period. Typical symptom of paining etc. that hepatocarcinoma will not present losing the appetite, becoming thin, ascites, abdominal distension, liver district in later period. Generally speaking present clinical symptom from the patient, find tumour, to pass away, the majority has 3 months only until half a year.
Certain advantage that there is hepatocarcinoma of later period of traditional Chinese medicine treatment
Traditional Chinese medicine that the doctor of traditional Chinese medicine should be can both support get rid of evils anding, let the organism produce defying and increasing the immunity, eliminate the cancer cell. Can make some hepatocarcinoma patients relieve the disease, lengthen the life-span.
In our country, it is 9 to 1 that the proportions of men and women of liver cirrhosis take place, the male probability of hepatocarcinoma far exceeds women.
The expert reminds at the same time, hepatocarcinoma is malignant degree of a kind of higher tumourses, find that can cure completely in early days. The fixed physical examination is an effective method to find in early days, especially those patients who suffer from liver diseases such as hepatitis,etc., you had better carry on a pointed physical examination to the hospital every three months.
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Which are the dangerous factor of hepatocarcinoma? 's prevention and health care
Which are the dangerous factor of hepatocarcinoma? 's prevention and health care
Hepatocarcinoma is one of the common malignant tumour in our country, its mortality ranks the third in digestive system malignant tumour, second only to gastric carcinoma and cancer of the esophagus, the emergence of hepatocarcinoma may relate to comprehensive function of many kinds of factors.
( 1) Virus hepatitis: There is about 31 in chronic hepatitis in the primary hepatocarcinoma patient, mainly antigen of surface of B-mode hepatitis virus (HBSAg) of the crowd of sending area of hepatocarcinoma Positive rate higher than low person who take place, and the intersection of serum and HBSAg and other the intersection of hepatitis B and positive rate of sign, patient of hepatocarcinoma, can reach 90%, higher than the healthy crowd notably, brief on the B-mode hepatitis virus to infect and relate to hepatocarcinoma. Find recently emergence with hepatitis C is close and relevant.
( 2) Liver cirrhosis: The person who amalgamates liver cirrhosis of primary hepatocarcinoma accounts for 50%~90%, liver cirrhosis after our country is mostly B-mode, C-mode virus hepatitis, in American-European countries, hepatocarcinoma often happens on the basis of alcohol liver cirrhosis. It is generally acknowledged snail fever and liver fiber, bile and silt and courageous and upright liver cirrhosis have no relations with emergence of the primary hepatocarcinoma.
( 3) Aflatoxin: Animal's experiment proves, it is carcinogenic to eat mould corn, peanut kernel, soybean, rapeseed oil,etc. produced by the fungus pollution of yellow song, this is because the supersession product aflatoxin B1 of the aflatoxin has strong carcinogenic function.
( 4) Drinking water pollution: Drinking water especially surface water often quilt organic carcinogen ' For instance six chlorine benzene, benzene, Zhyuan, much chlorine unite benzene etc.) Pollution. High report of Qidong of Jiangsu Province of taking place area of hepatocarcinoma, the hepatocarcinoma mortality of the residents taking place and drinking the well water in the residence which is drunk water of ditch pool has obvious differences, the morbidity of drinking the surface water is high. Find the blue green algate growing in the pond is a strong carcinogenic plant in recent years, can pollute the source of water.
( 5) Other chemical carcinogen: Some chemical materials such as inferior nitre amine, even nitrogen mustard, alcohol, organic chlorine pesticide,etc. are the carcinogen of hepatocarcinoma.
( 6) Parasite: Someone think liver China in the little bile duct prop up the intersection of testis and fluke, infect, can lead to the fact hepatocarcinoma.
Though people clear to dangerous factor that hepatocarcinoma take place according to of our country " change, defend mould to prevent hepatitis from by water " that national conditions put forward totally Seven -word policy, has already become an important measure that hepatocarcinoma of our country has prevented, and already demonstrated obvious function in the sending area of the height of hepatocarcinoma.
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Hepatocarcinoma is one of the common malignant tumour in our country, its mortality ranks the third in digestive system malignant tumour, second only to gastric carcinoma and cancer of the esophagus, the emergence of hepatocarcinoma may relate to comprehensive function of many kinds of factors.
( 1) Virus hepatitis: There is about 31 in chronic hepatitis in the primary hepatocarcinoma patient, mainly antigen of surface of B-mode hepatitis virus (HBSAg) of the crowd of sending area of hepatocarcinoma Positive rate higher than low person who take place, and the intersection of serum and HBSAg and other the intersection of hepatitis B and positive rate of sign, patient of hepatocarcinoma, can reach 90%, higher than the healthy crowd notably, brief on the B-mode hepatitis virus to infect and relate to hepatocarcinoma. Find recently emergence with hepatitis C is close and relevant.
( 2) Liver cirrhosis: The person who amalgamates liver cirrhosis of primary hepatocarcinoma accounts for 50%~90%, liver cirrhosis after our country is mostly B-mode, C-mode virus hepatitis, in American-European countries, hepatocarcinoma often happens on the basis of alcohol liver cirrhosis. It is generally acknowledged snail fever and liver fiber, bile and silt and courageous and upright liver cirrhosis have no relations with emergence of the primary hepatocarcinoma.
( 3) Aflatoxin: Animal's experiment proves, it is carcinogenic to eat mould corn, peanut kernel, soybean, rapeseed oil,etc. produced by the fungus pollution of yellow song, this is because the supersession product aflatoxin B1 of the aflatoxin has strong carcinogenic function.
( 4) Drinking water pollution: Drinking water especially surface water often quilt organic carcinogen ' For instance six chlorine benzene, benzene, Zhyuan, much chlorine unite benzene etc.) Pollution. High report of Qidong of Jiangsu Province of taking place area of hepatocarcinoma, the hepatocarcinoma mortality of the residents taking place and drinking the well water in the residence which is drunk water of ditch pool has obvious differences, the morbidity of drinking the surface water is high. Find the blue green algate growing in the pond is a strong carcinogenic plant in recent years, can pollute the source of water.
( 5) Other chemical carcinogen: Some chemical materials such as inferior nitre amine, even nitrogen mustard, alcohol, organic chlorine pesticide,etc. are the carcinogen of hepatocarcinoma.
( 6) Parasite: Someone think liver China in the little bile duct prop up the intersection of testis and fluke, infect, can lead to the fact hepatocarcinoma.
Though people clear to dangerous factor that hepatocarcinoma take place according to of our country " change, defend mould to prevent hepatitis from by water " that national conditions put forward totally Seven -word policy, has already become an important measure that hepatocarcinoma of our country has prevented, and already demonstrated obvious function in the sending area of the height of hepatocarcinoma.
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's treatment of treatment method of involvement of hepatocarcinoma
's treatment of treatment method of involvement of hepatocarcinoma
It is under the directions of X-ray, CT and ultrasonic apparatus to get involved and treat, carry on therapeutic technology with apparatus such as the particular puncture needle, leading the silk or conduit. It is the important component of tumour treatment to get involved and treat, especially the involvement of hepatocarcinoma very treats curative effect well, become one of the treatment main methods of hepatocarcinoma. Mainly have two following ways:
Artery intubate chemotherapy of liver
The liver artery intubate chemotherapy basic tool is: Punctured by the cover, from intubate in the artery to target tumour artery, and then give medicine through the conduit, by pouring into chemotherapy medicine when equal to or less than the intravenous dosage artery that gives medicine. So can make some medicine density of target cell improve and lengthen medicine and pathological change contact time, and reduce the total dosage of medicine of whole body and achieve the goal of improving curative effect and reducing the side effect. The time that curative effect and valid blood density and medicine and tumour of position medicine of tumour of the chemotherapy medicine contact is positive correlation relations. 20%-50% of blood supplt of the normal hepatocyte come from the liver artery, 75%-85% come from the portal vein. 90%-95% of blood supplt of the primary tumour come from the liver artery, this is poured into and treated tumour to offer the anatomy foundation by the liver artery for the alternative. There are three kinds that pour into the law on clinic: ( 1) A impact: Mean injecting the medicine into the target artery within short time, then pull out the tube and finish the therapeutic method. The characteristic is operating fast, there are few complications, it is simple to attend to, is suitable for the conduit and keep the difficult position. ( 2) The artery blocks chemotherapy: Insert in the target artery by hindering the sacculus conduit, then make the sacculus swell and block the blood flow of artery, method that the chemotherapy medicine pour into that and then do. The purpose is to further improve the medicine density and lengthen the time of stagnating of medicine. ( 3) The long-term medicine is poured into: This law conduit holds time longer, pour into it as numerous continuity. Liver artery thromboembolism treatment
Inject a certain solids or liquid materials into tumour blood vessel and tumour blood supply artery through the conduit alternative, block the blood supply of tumour, inhibit tumour from growing. To tumour unable to perform the operation to excise, this treatment can make tumour dwindle, and can lighten complications such as pain,etc., achieve the goal of delaying the life and improving quality of surviving. Thromboembolism pharmaceutical kind: ( 1) Long-term thromboembolism pharmaceutical. The sponge of gelatin: It is a nonpoisonous protein glue material without antigen, it is one of the commonly used thromboembolism pharmaceuticals. Lipiodol: After it inject by artery, disappear after the several days in organizing normally, but is held up in for a long time in tumour is organized, time can reach several months or more than 1 year. Whether lipiodol can also make emulsions or mix and hang pharmaceuticals with anticancer drug, as anticancer drug carriers, enable medicine by staying for a long time and releasing in tumour slowly more than the high density, increase the anticancer function of the medicine. ( 2) Traditional Chinese medicine thromboembolism pharmaceutical. Oil of crow's courage: Intravenous emulsion made of oil of crow's courage is effective to many kinds of tumours, its function of thromboembolism may be to pass and activate the blood coagulation system, cause the extensive thrombosis in the artery and reach. Oil of crow's courage has double action against cancer and artery thromboembolism. Oil of E's skill: Regarded as thromboembolism pharmaceutical oil of E's skill, have obvious anticancer function, can inhibit cancer and nucleus acid from formating, cause the death of cancer cell. It has function of strengthening the organism immunological function.
The report thinks, adopt the method of getting involved to treat hepatocarcinoma, 1, 2nd, survival rate is 44%, 29%, 15% respectively in 3. At present, get involved and treat and employ in treating in tumour wider and wider, can be used in many kinds of entity tumours such as lung cancer, ovarian cancer, cervical cancer, pancreas cancer.
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It is under the directions of X-ray, CT and ultrasonic apparatus to get involved and treat, carry on therapeutic technology with apparatus such as the particular puncture needle, leading the silk or conduit. It is the important component of tumour treatment to get involved and treat, especially the involvement of hepatocarcinoma very treats curative effect well, become one of the treatment main methods of hepatocarcinoma. Mainly have two following ways:
Artery intubate chemotherapy of liver
The liver artery intubate chemotherapy basic tool is: Punctured by the cover, from intubate in the artery to target tumour artery, and then give medicine through the conduit, by pouring into chemotherapy medicine when equal to or less than the intravenous dosage artery that gives medicine. So can make some medicine density of target cell improve and lengthen medicine and pathological change contact time, and reduce the total dosage of medicine of whole body and achieve the goal of improving curative effect and reducing the side effect. The time that curative effect and valid blood density and medicine and tumour of position medicine of tumour of the chemotherapy medicine contact is positive correlation relations. 20%-50% of blood supplt of the normal hepatocyte come from the liver artery, 75%-85% come from the portal vein. 90%-95% of blood supplt of the primary tumour come from the liver artery, this is poured into and treated tumour to offer the anatomy foundation by the liver artery for the alternative. There are three kinds that pour into the law on clinic: ( 1) A impact: Mean injecting the medicine into the target artery within short time, then pull out the tube and finish the therapeutic method. The characteristic is operating fast, there are few complications, it is simple to attend to, is suitable for the conduit and keep the difficult position. ( 2) The artery blocks chemotherapy: Insert in the target artery by hindering the sacculus conduit, then make the sacculus swell and block the blood flow of artery, method that the chemotherapy medicine pour into that and then do. The purpose is to further improve the medicine density and lengthen the time of stagnating of medicine. ( 3) The long-term medicine is poured into: This law conduit holds time longer, pour into it as numerous continuity. Liver artery thromboembolism treatment
Inject a certain solids or liquid materials into tumour blood vessel and tumour blood supply artery through the conduit alternative, block the blood supply of tumour, inhibit tumour from growing. To tumour unable to perform the operation to excise, this treatment can make tumour dwindle, and can lighten complications such as pain,etc., achieve the goal of delaying the life and improving quality of surviving. Thromboembolism pharmaceutical kind: ( 1) Long-term thromboembolism pharmaceutical. The sponge of gelatin: It is a nonpoisonous protein glue material without antigen, it is one of the commonly used thromboembolism pharmaceuticals. Lipiodol: After it inject by artery, disappear after the several days in organizing normally, but is held up in for a long time in tumour is organized, time can reach several months or more than 1 year. Whether lipiodol can also make emulsions or mix and hang pharmaceuticals with anticancer drug, as anticancer drug carriers, enable medicine by staying for a long time and releasing in tumour slowly more than the high density, increase the anticancer function of the medicine. ( 2) Traditional Chinese medicine thromboembolism pharmaceutical. Oil of crow's courage: Intravenous emulsion made of oil of crow's courage is effective to many kinds of tumours, its function of thromboembolism may be to pass and activate the blood coagulation system, cause the extensive thrombosis in the artery and reach. Oil of crow's courage has double action against cancer and artery thromboembolism. Oil of E's skill: Regarded as thromboembolism pharmaceutical oil of E's skill, have obvious anticancer function, can inhibit cancer and nucleus acid from formating, cause the death of cancer cell. It has function of strengthening the organism immunological function.
The report thinks, adopt the method of getting involved to treat hepatocarcinoma, 1, 2nd, survival rate is 44%, 29%, 15% respectively in 3. At present, get involved and treat and employ in treating in tumour wider and wider, can be used in many kinds of entity tumours such as lung cancer, ovarian cancer, cervical cancer, pancreas cancer.
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's treatment of drug therapy of chemical anticancer of hepatocarcinoma
's treatment of drug therapy of chemical anticancer of hepatocarcinoma
The commonly used chemotherapy medicine is as follows, on clinic at present 5 - the intersection of Fluorine and the intersection of urea and pyrimidine, mitomycin, it mutters Fluorine to be mould and plain obeying the intersection of chlorine and the intersection of ammonia and platinum,etc. in pyridine, A, there is certain curative effect.
Chemotherapy of hepatocarcinoma have, give medicine method while being many kinds of, introduce as follows now:
(1)The chemotherapy of whole body: Daily 5 - Fluorine urea pyrimidine (of daily expenses that 250- 500m g separate, intravenous injection, 7500m g is a course of treatment) , mitomycin,etc.,result than difference.
(2)Oral administration gives medicine: Mutter Fluorine pyridine 0 2- 0 4g while being daily, 3 times a day.
(3)The rectum gives medicine: It is one latest that are given the medicine route, utilize suppository to act on tumour from the portal vein through the rectum, mutter Fluorine pyridine suppository while being daily.
(4)Give medicine in the liver artery: Chemotherapy has two kinds of routes in the liver artery. One kind is by the operation intubate to suffer from the side liver artery (usually amalgamate artery ligature of liver) ,Put mercury of chemotherapy under belly wall cover, this law can or give medicine every other day every day. Puncture arteria femoralis from intubate to the intersection of liver and artery by skin, lump-sum to give medicine while being more heavily dose of, use repeatedly. Curative effect is better than the former, the medicine used inclines to obey chlorine ammonia platinum (every day 10- 20m g at present, 7- 10 one course of treatment in day, have a rest 10 repeatable day, total amount less than 500m g) . Secondly select 5 - Fluorine urea pyrimidine (every day 500m g, 5- 10g altogether) for use . Also can it selects mitomycin, A for use to be mould and plain talking endlessly purine by first ammonia while being other.
(5)The intubate chemotherapy of portal vein: Puncture the intersection of portal vein and branched intubate by skin, give medicine method with puncture the intersection of liver and the intersection of artery and the intersection of intubate and chemotherapy, amalgamate thromboembolism by skin mostly. This law and liver artery ligature can make curative effect obviously improve to jointly use.
Attention: The chemotherapy medicine has certain damage and toxic function to normal cells of the health too while wounding tumour cells. As follows, mainly The digestive tract reacts, for instance disgusting, vomit, lose the appetite; Hematopoietic function of the bone marrow is inhibited, for instance the leucocyte, blood platelet are reduced, even cause serious infection, bleeding,etc.; Inject stimulus of local organization,etc.. So, should during staying in chemotherapy act as the blood, check often, chemotherapy medicine, in conformity with decrement or inactive when the leucocyte or blood platelet is obviously reduced, and can use some liters of leucocytes medicine at the same time and collect and fall to stimulate the factor etc. with such as liver alcohol, leucogen, a cell. Can employ the stomach to reply antiemetic of fitting etc. and deal with to the persons who extremely vomit to the ill, if should vomit the inactive chemotherapy medicine in time seriously.
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The commonly used chemotherapy medicine is as follows, on clinic at present 5 - the intersection of Fluorine and the intersection of urea and pyrimidine, mitomycin, it mutters Fluorine to be mould and plain obeying the intersection of chlorine and the intersection of ammonia and platinum,etc. in pyridine, A, there is certain curative effect.
Chemotherapy of hepatocarcinoma have, give medicine method while being many kinds of, introduce as follows now:
(1)The chemotherapy of whole body: Daily 5 - Fluorine urea pyrimidine (of daily expenses that 250- 500m g separate, intravenous injection, 7500m g is a course of treatment) , mitomycin,etc.,result than difference.
(2)Oral administration gives medicine: Mutter Fluorine pyridine 0 2- 0 4g while being daily, 3 times a day.
(3)The rectum gives medicine: It is one latest that are given the medicine route, utilize suppository to act on tumour from the portal vein through the rectum, mutter Fluorine pyridine suppository while being daily.
(4)Give medicine in the liver artery: Chemotherapy has two kinds of routes in the liver artery. One kind is by the operation intubate to suffer from the side liver artery (usually amalgamate artery ligature of liver) ,Put mercury of chemotherapy under belly wall cover, this law can or give medicine every other day every day. Puncture arteria femoralis from intubate to the intersection of liver and artery by skin, lump-sum to give medicine while being more heavily dose of, use repeatedly. Curative effect is better than the former, the medicine used inclines to obey chlorine ammonia platinum (every day 10- 20m g at present, 7- 10 one course of treatment in day, have a rest 10 repeatable day, total amount less than 500m g) . Secondly select 5 - Fluorine urea pyrimidine (every day 500m g, 5- 10g altogether) for use . Also can it selects mitomycin, A for use to be mould and plain talking endlessly purine by first ammonia while being other.
(5)The intubate chemotherapy of portal vein: Puncture the intersection of portal vein and branched intubate by skin, give medicine method with puncture the intersection of liver and the intersection of artery and the intersection of intubate and chemotherapy, amalgamate thromboembolism by skin mostly. This law and liver artery ligature can make curative effect obviously improve to jointly use.
Attention: The chemotherapy medicine has certain damage and toxic function to normal cells of the health too while wounding tumour cells. As follows, mainly The digestive tract reacts, for instance disgusting, vomit, lose the appetite; Hematopoietic function of the bone marrow is inhibited, for instance the leucocyte, blood platelet are reduced, even cause serious infection, bleeding,etc.; Inject stimulus of local organization,etc.. So, should during staying in chemotherapy act as the blood, check often, chemotherapy medicine, in conformity with decrement or inactive when the leucocyte or blood platelet is obviously reduced, and can use some liters of leucocytes medicine at the same time and collect and fall to stimulate the factor etc. with such as liver alcohol, leucogen, a cell. Can employ the stomach to reply antiemetic of fitting etc. and deal with to the persons who extremely vomit to the ill, if should vomit the inactive chemotherapy medicine in time seriously.
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Which are the omen of hepatocarcinoma? 's prevention and health care
Which are the omen of hepatocarcinoma? 's prevention and health care
Hepatocarcinoma is one kind very " Viciousness sinisterly" Malignant tumour,the it one be found difficultly danger early without being lain in, once make a definite diagnosis of mostly already for later period, and the course of disease is developed very fast, so there are " kings in cancer " It claims. Every above middle age, have long-term the intersection of hepatopathy and patient of medical history, substantially as having reason to be unidentified the intersection of liver and district pain become thin, the intersection of fluctuation and the intersection of transaminase and persons who are rise, answer for 6 months and check a Ultrasonography B, test an child albumen of serum first.
Primary hepatocarcinoma favors the middle-aged person, the onset peak is among 40~50 years old, men meet more than women. Pathogenic factor and mechanism have not been confirmed yet at present, but been thought to concern with some chemical carcinogen such as liver cirrhosis, virus hepatitis, aflatoxin and water and soil factor certainly. The food that includes much aflatoxin is rotten ginger, peanut, stale grain, oils, beans, fish and fermented-and-salted bean curd,etc. food.
Find the following symptoms, should go to the hospital to check early:
1.The liver district pains.
Over half patient regards this as and firsts publish symptom, are mostly that the continuation is dull pain, shouting pain or bloated pain.
2.Whole body and digestive tract symptom.
It is early and often difficult to arouse attention, mainly shown as weak, becoming thin, appetite failing, abdominal distension,etc.. Some patients can be with symptoms such as nausea, vomiting, generating heat, suffering from diarrhoea,etc.. Anaemia, jaundice, ascites, lower extremities edema, subcutaneous hemorrhage and cachexia,etc. appear in later period.
3.Hepatomegaly.
Later period the intersection of hepatocarcinoma and most common main physical sign in being. In many cases, hepatomegaly or lump of liver district is laid one's hand on accidentally and sent symptom as the head of hepatocarcinoma by patient.
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Hepatocarcinoma is one kind very " Viciousness sinisterly" Malignant tumour,the it one be found difficultly danger early without being lain in, once make a definite diagnosis of mostly already for later period, and the course of disease is developed very fast, so there are " kings in cancer " It claims. Every above middle age, have long-term the intersection of hepatopathy and patient of medical history, substantially as having reason to be unidentified the intersection of liver and district pain become thin, the intersection of fluctuation and the intersection of transaminase and persons who are rise, answer for 6 months and check a Ultrasonography B, test an child albumen of serum first.
Primary hepatocarcinoma favors the middle-aged person, the onset peak is among 40~50 years old, men meet more than women. Pathogenic factor and mechanism have not been confirmed yet at present, but been thought to concern with some chemical carcinogen such as liver cirrhosis, virus hepatitis, aflatoxin and water and soil factor certainly. The food that includes much aflatoxin is rotten ginger, peanut, stale grain, oils, beans, fish and fermented-and-salted bean curd,etc. food.
Find the following symptoms, should go to the hospital to check early:
1.The liver district pains.
Over half patient regards this as and firsts publish symptom, are mostly that the continuation is dull pain, shouting pain or bloated pain.
2.Whole body and digestive tract symptom.
It is early and often difficult to arouse attention, mainly shown as weak, becoming thin, appetite failing, abdominal distension,etc.. Some patients can be with symptoms such as nausea, vomiting, generating heat, suffering from diarrhoea,etc.. Anaemia, jaundice, ascites, lower extremities edema, subcutaneous hemorrhage and cachexia,etc. appear in later period.
3.Hepatomegaly.
Later period the intersection of hepatocarcinoma and most common main physical sign in being. In many cases, hepatomegaly or lump of liver district is laid one's hand on accidentally and sent symptom as the head of hepatocarcinoma by patient.
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Physical sign _'s symptom of hepatocarcinoma
Physical sign _'s symptom of hepatocarcinoma
(1)Hepatomegaly: Liver going on swelling or the upper abdomen is laid one's hand on and lump, tough or have tubercle senses, some tenderness.
(2)Ascites: Often there are symptoms such as jaundice, ascites, lower extremities edema,etc. in the later period of hepatocarcinoma.
(3)Splenomegaly: Splenomegaly quality is hard, the surface is smooth, there is no tenderness.
(4)The belly wall is variceal: When hepatocarcinoma amalgamates liver cirrhosis can appear various physical sign of liver cirrhosis, for instance the intersection of spider and mole, the intersection of belly and the intersection of wall and variceal, the intersection of liver and the intersection of palm,etc. and symptom.
(5)Liver function is checked: The liver work unusually indicates in later period hepatocarcinoma has already or amalgamates serious liver cirrhosis, this contributes to being chosen therapeutic method and found out about prognosis.
(6)Zymology is checked: The positive rate of early hepatocarcinoma is very low, so can only be regarded as a householder method that hepatocarcinoma diagnoses
(7)Immunology is checked: It is to diagnose one of the most frequently used and most important methods of primary hepatocarcinoma at present that first kind of foetus' albumen is checked.
(8)The supersound is checked: Ultrasonography B is an not invading inspection method, can reveal the size, shape and position of tumour, the accuracy rate of diagnosis is about 90%.
(9)The isotope scans: It is obvious the volume abnormality of liver increases, the shape is unusual, the tumour position appears in the sparse or flawed or damaged district.
(10)X-ray examination: Perspect or the flat sheet of belly can see shade of increasing of the density of liver district, the liver image increases, cancerous swelling of the right lobe of the liver can be found and raised through the skin on the right side. The stomach or intestine with neighbouring visible tumour is pressed and pass when left lobe of the liver hepatocarcinoma is expert at the barium meal radiography of intestines and stomach.
(11)Liver angiography: Through the alternative arteria coeliaca or liver artery radiography, can confirm the position, size and number of tumour.
(12)Other inspections: CT, ECT, liver puncture the biopsy, laparoscopy,etc., help certainly.
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(1)Hepatomegaly: Liver going on swelling or the upper abdomen is laid one's hand on and lump, tough or have tubercle senses, some tenderness.
(2)Ascites: Often there are symptoms such as jaundice, ascites, lower extremities edema,etc. in the later period of hepatocarcinoma.
(3)Splenomegaly: Splenomegaly quality is hard, the surface is smooth, there is no tenderness.
(4)The belly wall is variceal: When hepatocarcinoma amalgamates liver cirrhosis can appear various physical sign of liver cirrhosis, for instance the intersection of spider and mole, the intersection of belly and the intersection of wall and variceal, the intersection of liver and the intersection of palm,etc. and symptom.
(5)Liver function is checked: The liver work unusually indicates in later period hepatocarcinoma has already or amalgamates serious liver cirrhosis, this contributes to being chosen therapeutic method and found out about prognosis.
(6)Zymology is checked: The positive rate of early hepatocarcinoma is very low, so can only be regarded as a householder method that hepatocarcinoma diagnoses
(7)Immunology is checked: It is to diagnose one of the most frequently used and most important methods of primary hepatocarcinoma at present that first kind of foetus' albumen is checked.
(8)The supersound is checked: Ultrasonography B is an not invading inspection method, can reveal the size, shape and position of tumour, the accuracy rate of diagnosis is about 90%.
(9)The isotope scans: It is obvious the volume abnormality of liver increases, the shape is unusual, the tumour position appears in the sparse or flawed or damaged district.
(10)X-ray examination: Perspect or the flat sheet of belly can see shade of increasing of the density of liver district, the liver image increases, cancerous swelling of the right lobe of the liver can be found and raised through the skin on the right side. The stomach or intestine with neighbouring visible tumour is pressed and pass when left lobe of the liver hepatocarcinoma is expert at the barium meal radiography of intestines and stomach.
(11)Liver angiography: Through the alternative arteria coeliaca or liver artery radiography, can confirm the position, size and number of tumour.
(12)Other inspections: CT, ECT, liver puncture the biopsy, laparoscopy,etc., help certainly.
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Sunday, February 24, 2013
Which display _'s symptom Ultrasonography B of hepatocarcinoma is checked had
Which display _'s symptom Ultrasonography B of hepatocarcinoma is checked, had
Hepatomegaly: Right leaf oblique to greater than 13 directly, or harsh and unreasonable to greater than 10 directly, or ensiform process lower left leaf thick to greater than 4 centimetres, among them possess one at least.
Sideline abnormality of liver.
The liver shape changes, the skin of diaphragm rises.
The echo increases, is distributed irregularity, present intensive luminous point, facula or only roll in the liver.
There is high reflecting, low reflecting or phenotype to reflect the intensity.
Can present the irregular liquid dark district while only rolling, take shape and faint secretly around.
Liver intravenous and bile duct have press, shift, or walk conduct break down phenomenon.
Can be with splenomegaly, the portal vein is rented again, the cancer bolt in the liver blood vessel.
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Hepatomegaly: Right leaf oblique to greater than 13 directly, or harsh and unreasonable to greater than 10 directly, or ensiform process lower left leaf thick to greater than 4 centimetres, among them possess one at least.
Sideline abnormality of liver.
The liver shape changes, the skin of diaphragm rises.
The echo increases, is distributed irregularity, present intensive luminous point, facula or only roll in the liver.
There is high reflecting, low reflecting or phenotype to reflect the intensity.
Can present the irregular liquid dark district while only rolling, take shape and faint secretly around.
Liver intravenous and bile duct have press, shift, or walk conduct break down phenomenon.
Can be with splenomegaly, the portal vein is rented again, the cancer bolt in the liver blood vessel.
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9 kinds of therapeutic method _'s treatment of hepatocarcinoma
9 kinds of therapeutic method _'s treatment of hepatocarcinoma
A treatment
The surgical treatment still treats the first-selected method of hepatocarcinoma at present. Because of the diagnosis in early days, orienting newer progress of the diagnosis, tumour biology and several concepts of hepatocarcinoma and surgery of hepatocarcinoma in recent years, make the surgical therapeutic effect of hepatocarcinoma have obvious improvement. Mainly include the following aspects:
1,Surgery is excised and treated
2,Various part treatments in the skill that can't be excised:
The artery portal vein chemotherapy of liver combines ligature in the skill;
The putting into note medicine pump infuses chemotherapy;
The putting into microwave radiates the treatment in the skill;
Freeze and treat in the skill;
Electrochemistry treatment in the skill;
Three benzene oxygen amine adds the liver and pours into chemotherapy;
The preface of hepatocarcinoma passes through, treats.
Second, radiotherapy
With radiating physics and radiating physiologic research progress in recent years, develop the intersection of radiotherapy and apparatus, adopt ray or electronic the intersection of X and ray, high-energy ray,etc. of linear accelerator, 60 of cobalt, method and range of shining of hepatocarcinoma have improvements, shine by original the whole liver - part shine and the whole liver move, put, shine and surgery orientate part shine and exceed, cut apart, shine etc., make hepatocarcinoma have obvious improvement to put the curative effect fruit, the side effect is reduced to the lowest level. Mainly include external radiotherapy and internal radiotherapy.
Third, chemical drug therapy
95% of the hepatocarcinoma patients have already lost the surgery chance in diagnosis, most hepatocarcinoma patients still depend on the treatment of the chemical medicine. Chemotherapy in hepatocarcinoma appraise high in the past, give medicine all over especially curative effect very little, change to give medicine route chemotherapy in recent years, competent the intersection of liver and artery chemotherapy combine thromboembolism, make the fruit of curative effect of melting of hepatocarcinoma have obvious improvement. Think the chemotherapy of intubate is superior to whole body and unite chemotherapy, it is superior to the chemotherapy of single medicine to unite chemotherapy at present. The best treatment which treat the hepatocarcinoma patient of performing the operation that the artery intubate chemotherapy of liver considered to be unsuitables.
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A treatment
The surgical treatment still treats the first-selected method of hepatocarcinoma at present. Because of the diagnosis in early days, orienting newer progress of the diagnosis, tumour biology and several concepts of hepatocarcinoma and surgery of hepatocarcinoma in recent years, make the surgical therapeutic effect of hepatocarcinoma have obvious improvement. Mainly include the following aspects:
1,Surgery is excised and treated
2,Various part treatments in the skill that can't be excised:
The artery portal vein chemotherapy of liver combines ligature in the skill;
The putting into note medicine pump infuses chemotherapy;
The putting into microwave radiates the treatment in the skill;
Freeze and treat in the skill;
Electrochemistry treatment in the skill;
Three benzene oxygen amine adds the liver and pours into chemotherapy;
The preface of hepatocarcinoma passes through, treats.
Second, radiotherapy
With radiating physics and radiating physiologic research progress in recent years, develop the intersection of radiotherapy and apparatus, adopt ray or electronic the intersection of X and ray, high-energy ray,etc. of linear accelerator, 60 of cobalt, method and range of shining of hepatocarcinoma have improvements, shine by original the whole liver - part shine and the whole liver move, put, shine and surgery orientate part shine and exceed, cut apart, shine etc., make hepatocarcinoma have obvious improvement to put the curative effect fruit, the side effect is reduced to the lowest level. Mainly include external radiotherapy and internal radiotherapy.
Third, chemical drug therapy
95% of the hepatocarcinoma patients have already lost the surgery chance in diagnosis, most hepatocarcinoma patients still depend on the treatment of the chemical medicine. Chemotherapy in hepatocarcinoma appraise high in the past, give medicine all over especially curative effect very little, change to give medicine route chemotherapy in recent years, competent the intersection of liver and artery chemotherapy combine thromboembolism, make the fruit of curative effect of melting of hepatocarcinoma have obvious improvement. Think the chemotherapy of intubate is superior to whole body and unite chemotherapy, it is superior to the chemotherapy of single medicine to unite chemotherapy at present. The best treatment which treat the hepatocarcinoma patient of performing the operation that the artery intubate chemotherapy of liver considered to be unsuitables.
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