Should the hepatocarcinoma patient choose _'s prevention and health care of liver transplantation

Should the hepatocarcinoma patient choose _'s prevention and health care of liver transplantation
It has been the problem that patient and relative have faced all the time whether hepatocarcinoma should do liver transplantation, especially after hearing the news of patient's postoperative death of recuring of patient's liver transplantation of much hepatocarcinoma, have increased the doubt even more. Then, should select liver transplantation on earth?
On the whole, various hepatocarcinoma is chosen the curative effect of liver transplantation because of all other treatments. At first to small hepatocarcinoma, the intersection of liver transplantation and postoperative risk that recur very little, transplant, may survive for a long time while being postoperative; Even big hepatocarcinoma, if does not transplant getting and treating effectively, the time of surviving of majority in 3-6 months, and transplant and can lengthen and survive time improves life quality.
As to dying after some celebrity liver transplantations which the media report mainly still because these patients are great hepatocarcinoma patients, opportunity transplanted to do too getting late, postoperative total recurring rate too can understand while being high.
Think, postoperative liver transplantation of hepatocarcinoma recurs to mainly relate to following factor at present: Tumour diameter, tumour quantity, the intensity of splitting up of pathology, there are blood vessels that are soaked, there is lymphocytic cellular reaction. Tumour large occuring frequently and cell split up low intensity, soak with blood vessel and those without lymphocytic cellular reaction high in malignant degree, the postoperative probability of recuring is relatively high. And having trunk cancer bolts can be confirmed before skills because of only tumour quantity, size, so propose according to tumour diameter and number more at present and have trunk cancer bolts to judge postoperative risk and prognosis of recuring. Single shot the intersection of tumour and diameter smaller than 5cm, occur frequently the intersection of tumour and quantity greater than 3 and most large diameter person of 3cm greater thanned recur probability to be low while being postoperative, it is the good indication of liver transplantation; The person who exceeds this standard, if does not transplant, will die soon, can lengthen to transplant surviving time improves life quality, so can consider transplanting on condition that support the liver to be sufficient and is economically permitted. Hepatocarcinoma in the skill postoperative patient should competent chemotherapy, immune application of inhibitor accomplish individual, try hard to reduce consumption on the premise of avoiding being repelled, can be maximum to avoid and delay tumour and recur.
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