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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