论文部分内容阅读
目的 :探讨小肝癌及周围性肝癌临床治疗的最佳模式。方法 :分析近年收治的 12例资料 ,均为TACE后行肝肿瘤切除的病例。结果 :男 8例 ,女 4例 ,小肝癌 5例 ,周围性肝癌 7例 ,术前TACE 1次 5例 ,2次 5例 ,3次 2例。TACE后有肺转移 1例 ,肝局部播散 4例 ,术中出血量略多于同期其它病例。TACE后肿瘤有 10 %～ 70 %的坏死。结论 :对特殊部位的小肝癌可采取TACE后手术切除的方法 ,对一般部位的小肝癌和周围性肝癌 ,在肝功能能代偿的情况下 ,先行手术切除 ,能减少肝癌早期转移的机会 ,缩短荷瘤时间
Objective: To explore the best mode of clinical treatment for small hepatocellular carcinoma and peripheral liver cancer. Methods : Analysis of 12 cases of recent treatment were all cases of liver tumor resection after TACE. Results: There were 8 males and 4 females, 5 small hepatocellular carcinomas, 7 peripheral hepatocellular carcinomas, 5 preoperative TACE 5 cases, 2 secondary 5 cases, and 3 secondary 3 cases. After TACE, there was 1 case of lung metastasis and 4 cases of local liver dissemination. The amount of intraoperative blood loss was slightly more than other cases during the same period. After TACE, the tumor has 10% to 70% of necrosis. Conclusion: For small hepatocellular carcinoma in special sites, the method of surgical resection after TACE can be adopted. For small hepatocellular carcinoma and peripheral hepatocellular carcinoma in the general site, surgical resection in the case of compensatory liver function can reduce the chance of early metastasis of liver cancer. Shorten tumor time