Cannot excise liver cancer’s non-surgery to treat
March 31st, 2008 Guage
1) hepatic artery embolism chemotherapy (TACE)
Application liver cancer which cannot the surgery excise after the drive pipe hepatic artery embolism technique treatment. At present is mid and late stage liver cancer’s first choice method which may not excise. The commonly used chemotherapy medicine has the crack mildew element, 5- fluorine uracils, the Arab League mildew element, along the platinum and so on. Embolism medicinal preparation application gelatin sponge, iodized oil, traditional Chinese medicine Baiji and so on.
TACE is suitable for:①Before the HCC surgery excises, after reduces the technique, in liver shift and recrudescence;②Before the liver transplants, waits for when the donor liver controls the tumor progress;③Liver cancer bursts the urgent hematischesis;④As appeases the treatment, is unable liver cancer which excises, reduces the symptom, the alleviation ache, the hemorrhage, moves the vein fistula and so on.
TACE contraindication: Jaundice, isometric ascites, serious hepatorenal function barrier; Portal vein high pressure partner reversion blood stream and portal vein branch blocking; Obvious hemoglutination machine-made barrier; Infection; The tumor surpasses the entire liver 70%.
(2) radiotherapy: Liver cancer cell belongs to the radiotherapy sensitive cell, at present has become one of liver cancer complex therapy commonly used methods. Radiotherapy indication:①The whole body situation is good, liver function commutation time②Cannot excise liver cancer, but the tumor limits (is mainly located at right leaf, <10cm)③Hepatocellular carcinoma partner portal vein/vena cava inferior cancer hitch④Hepatocellular carcinoma abdominal cavity lymph node shift⑤The hepatocellular carcinoma adrenal gland shifts⑥The hepatocellular carcinoma bone shifts
Radiotherapy contraindication:①The serious liver cirrhosis, the liver function loses the commutation, the ascites and so on②Activity liver disease③Fills liver cancer④Widespread shift⑤Concurrent digestive tract hemorrhage, liver stupor
The radiotherapy technology is the conventional radiotherapy, the three dimensional suitable shape radiotherapy and the three-dimensional directional radiotherapy. The radioactive source is 6MV or the 15MV photon, shoots the wild design to protect the normal liver organization as far as possible, may act according to the iodine oil deposition definite target area, the boundary surpasses tumor edge 2cm; Average radiological dose 46GY (36-60GY). The radiotherapy unifies TACE much, the two union’s curative effect is higher than pure RT or TACE obviously.
(3) partial micro creates the treatment:
①After skin puncture ethyl alcohol injection therapy (PEL): (Ethyl alcohol) injects in directly the tumor with the dehydrated alcohol, causes the cancer cell dehydration to denaturate, the tumor blood vessel to coagulate embolism to have the curative effect. Possibly has to the small liver cancer permanently cures the effect. PEIT is mainly suitable in the tumor diameter is smaller than 5cm, the patient who particularly is smaller than the 3.0cm hepatocellular carcinoma, the cancer tubercle number does not surpass 3, after liver function childA, the B level’s patient and the surgery excise, recurs.
② The radio frequency ablation treatment (RFA) its method is under the ultrasound guidance through the computer guidance after the skin puncture the electrode needle insertion cancer stove, carries on the warming treatment under the computer programmed control, may create the cancerous necrosis. The radio frequency treatment’s surgery refers to drafts has 1) treats previous 4 weeks according to not to receive embolism chemotherapy. (2) liver function ChindA or B level. (3) anticipated life surpasses for 3 months. about (4) tumor has not encroached upon the ductus hepaticus
③Other micro create the treatment: After skin microwave coagulation treatment, *** focusing supersonic (HIFU), laser therapy (LITT), microwave coagulation therapy (ILP), after skin ethanoic acid injection therapy (PAIT), crymotherapy and so on. These therapies are mainly suitable the object are smaller than for the lump body 3cm, the cancer stove number are short in 4 liver cancer patients
(4) Chinese medicine treatment: Uses the method which dialectical treats, attacks makes up uses concurrently, governs, then for blood circulation removing extravasted blood, soft relieves congestion firmly, the clearing heat and detoxication and so on. The traditional Chinese medicine and the chemotherapy, the radiotherapy come in handy, may improve the symptom, the adjustment organism immunologic function, reduces the side reaction, enhances the curative effect.
(5) biology and immunity treatment: After the surgery excises or the chemotherapy, the radiotherapy, the application biology and the immunity treatment may play consolidated and the enhancement curative effect role.
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Entry Filed under: Liver Cancer
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