Surveillance for early diagnosis of hepatocellular carcinoma: How best to do it?

来源 :World Journal of Gastroenterology | 被引量 : 0次 | 上传用户:godman007
下载到本地 , 更方便阅读
声明 : 本文档内容版权归属内容提供方 , 如果您对本文有版权争议 , 可与客服联系进行内容授权或下架
论文部分内容阅读
Surveillance for hepatocellular carcinoma(HCC)is considered a standard of care for patients with chronic liver disease who are at risk of developing this malignancy.Several studies have shown that surveillance can improve the prognosis of patients diagnosed with HCC through an increased likelihood of application of curative or effective treatments.Repetition of liver ultrasonography(US)every 6 mo is the recommended surveillance program to detect early HCCs,and a positive US has to entrain a well-defined recall policy based on contrast-enhanced,dynamic radiological imaging or biopsy for the diagnosis of HCC.Although HCC fulfills the accepted criteria regarding cost-effective cancer screening and surveillance,the implementation of surveillance in clinical practice is defective and this has a negative impact on the cost-effectiveness of the procedure.Education of both physicians and patients is of paramount importance in order to improve the surveillance application and its benefits in patients at risk of HCC.The promotion of specific educational programs for practitioners,clinicians and patients is instrumental in order to expand the correct use of surveillance in clinical practice and eventually improve HCC prognosis. Surveillance for hepatocellular carcinoma (HCC) was considered a standard of care for patients with chronic liver disease who are at risk of developing this malignancy. Seral studies have shown that surveillance can improve the prognosis of patients diagnosed with HCC through an increased likelihood of application of of curative or effective treatments. Repetition of liver ultrasonography (US) every 6 mo is the recommended surveillance program to detect early HCCs, and a positive US has to entrain a well-defined recall policy based on contrast-enhanced, dynamic radiological imaging or biopsy for the diagnosis of HCC fulfills the accepted criteria regarding cost-effective cancer screening and surveillance, the implementation of surveillance in clinical practice is defective and this has a negative impact on the cost-effectiveness of the procedure. Education of both physicians and patients is of paramount importance in order to improve the surveillance application and its benefits in pa tients at risk of HCC. The promotion of specific educational programs for practitioners, clinicians and patients is instrumental in order to expand the correct use of surveillance in clinical practice and ultimately improve HCC prognosis.
其他文献
为了定性评价含超标缺陷管座角焊缝长期服役后的应力集中状况,本文作者们考虑并尝试了磁记忆检测(MMT)方法.检测仪器和计算软件均来自俄罗斯动力诊断公司.通过对含超标缺陷管
会议
为明确载荷作用形式对磁记忆检测信号的影响,在MTS810型液压伺服试验机上进行45钢板状试件的静载拉伸试验及拉拉疲劳试验,采用EMS-2003金属磁记忆诊断仪配合非磁性三维电控平
会议
目的:研究金钗石斛60%乙醇提取物中联苄类和酚酸类成分的抗氧化活性,探讨其抗氧化活性与结构的关系.方法:综合运用现代色谱学和光谱学方法对金钗石斛60%乙醇提取物中的化学成分
会议
乳腺癌是我国女性中发病率第一位的恶性肿瘤.开展病因研究和乳腺癌风险预测模型研究用于指导一级和二级预防,这一公共卫生策略将使人群健康收益最大化.本文介绍目前我国乳腺
概述了国内外基于磁致伸缩效应的导波无损检测技术的研究进展,重点评述了磁致伸缩导波无损检测技术取得三大方面突破,即磁致伸缩传感器技术、导波特性研究、导波信号处理.提
本文系统介绍了临床审查的背景、意义、概念和类型,详细阐述了临床审查的5大步骤:准备临床审查、选择审查指标、临床实践测量、临床质量改进及维持持续改进.本文还介绍了临床
随着定量化检测要求的不断提高,对缺陷的层次得定位也越来越重要.本文通过分析交流、直流单一频率检测的利弊,提出交直流综合磁化的漏磁检测法,并通过实验成功的区分出钢管的
目的:研究赤参提取物对人肝癌细胞株 HepG2细胞凋亡诱导的作用及其机制的探讨.方法:采用MTT法观察赤参提取物对HepG2细胞的生长抑制作用,DNA凝胶电泳、流式细胞仪分析观察赤
会议
利用低频涡流检测技术,通过对工件近表面裂纹检出的实验数据分析,得出涡流渗透深度与工作频率之间关系的经验公式,便于在具体的检测过程中能够有效.
在素有“雪国”之称的日本北海逍,每至寒冬,人们喜欢在户外举办各种活泼有趣的活动。每年二月初,在北海道首府札幌市举行的为期三天的雪节,是北海道各地举行“冰与雪的盛典