Diagnosis and phased standard _'s symptom of hepatocarcinoma

Diagnosis and phased standard _'s symptom of hepatocarcinoma
Primary hepatocarcinoma (call hepatocarcinoma in the following text) It is the common malignant tumour in our country. The diagnosis of hepatocarcinoma, especially diagnose, rely on various more auxiliary examination in early days. Is not mastered by a training doctor in order to standardize the diagnostic program and benefit, it is necessary to make a diagnostic standard.
Hepatocarcinoma is a disease of going on development, healing solutions adopted in different disease period are different, the prognosis is also different, so there should also be one about phased standard. Wait for author one the intersection of hepatocarcinoma and diagnose and person who divide that put forward 1977 phased standard prevent and cure, study, cooperate at the meeting passing in national hepatocarcinoma, adopted by our country's medical personnels. Writing " norm of making a diagnosis and giving treatment of national malignant tumour " in 1990 and writing in 1997 although had change on a few characters while " newly organizing the norm of making a diagnosis and giving treatment of malignant tumour ", but the basic content has been continued to use for already more than 20 years so far. The diagnosis and treating the respect to make considerable progress of hepatocarcinoma over the past 20 years, the diagnostic standard should be revised, treat the intersection of respect and the intersection of surgery and enlargement of indication, perform the operation development of treatment make the intersection of hepatocarcinoma and phased standard need, make corresponding adjustment also.
In recent years, the main suggestion on the diagnostic standard that the experts publish is the development that is diagnosed because of the image on some meetings or magazines, should not have a simple standard that relies on AFP to diagnose hepatocarcinoma again, the hepatocarcinoma case negative to AFP should do other hepatocarcinoma marks to check etc.. But standard opinion 2 stage step, spend loud in the past standard mainly by stages to hepatocarcinoma. It is too simple to describe, is unfavorable to differentiating the detailed conditions and should consider TNM standard issued of entering into an alliance with international anticancer to integrate etc.. Once have a simplicity that relied on AFP to diagnose the standard of hepatocarcinoma in the hepatocarcinoma diagnostic standard of 1977 truly, it describes as " AFPgt; 400 g/L, lasts 4 weeks, and can getting rid of gestation, active hepatopathy, gonadial embryo source tumour and shifting hepatocarcinoma person, can diagnose as primary hepatocarcinoma " . This standard is that the case of detection AFP high density was set up in large-scale hepatocarcinoma general survey for adapting to at that time. Really, it is primary hepatocarcinoma to really accord with the above-mentioned standard case overwhelming majority, but it is difficult to carry out, because active hepatopathy is difficult to get rid of. Moreover, the diagnosis of hepatocarcinoma should include the diagnosis of determining the nature and makes a reservation and diagnose two parts, even diagnosed hepatocarcinoma according to the above-mentioned standard, but the unable treatment of injecting surgery excising, radiotherapy, some alcohol etc. that hepatocarcinoma can't make a reservation. The purpose to diagnose is to treat, if can't meet the needs of treating, diagnose that can't be regarded as completely.
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