The way to cure liver cancer
summary
Recently, I feel sick, easy to fatigue, loose stools, it's really very uncomfortable, liver disease pain is very uncomfortable, face yellow, have no appetite, go to the hospital to check is liver cancer. The treatment is very fast, and I'm almost recovered. Let me talk about the treatment of liver cancer.
The way to cure liver cancer
Treatment 1: surgical resection is the first choice for the treatment of small hepatocellular carcinoma, and it is also an important way for patients to obtain long-term survival. According to the follow-up results of 1068 patients with small hepatocellular carcinoma who underwent surgical resection, the 5-year survival rate was 62.7%, and the 10-year survival rate was 46.3%.
Treatment 2: it should be noted that not all patients with small liver cancer can be surgically removed. The best indication for hepatectomy is the patients with child Pugh a liver function, no severe portal hypertension and good liver reserve function; the patients with child Pugh B liver function can also choose hepatectomy, but they need to make full preparation before operation to improve the liver function as much as possible to reach child Pugh a, while the patients with child Pugh C liver function are the best The contraindication of hepatectomy.
Treatment 3: according to the mechanism that the early micrometastasis of liver cancer and the main tumor are located in the same segment of liver, anatomical hepatectomy is more reasonable for surgical resection, because anatomical hepatectomy can remove the tumor and intrahepatic disseminated micrometastasis at the same time in theory, so as to reduce postoperative recurrence, and also reduce the possibility of cancer cell abscission and intrahepatic dissemination and distant metastasis caused by intraoperative operation squeezing tumor Transfer at the same time. Compared with anatomical hepatectomy, non anatomical hepatectomy has no statistical significance in short-term efficacy and mortality, but its long-term efficacy, long-term survival rate and disease-free survival rate are still inferior to anatomical hepatectomy.
matters needing attention
Using hepatitis vaccine to prevent hepatitis and liver cancer has become one of the most promising ways to prevent liver cancer, but it is estimated that it will take decades to see the effect. It has been proved that hepatitis B vaccine is effective in preventing hepatitis. However, the prevention of HCV and HDV should be considered. Besides hepatitis B vaccine, the prevention of viral hepatitis also needs to pay attention to the control of other transmission routes, such as diet, operation, blood transfusion, injection, acupuncture and haircut.