Primary liver cancer worldwide, is one of the most common tumors. Between different types of liver cells (hepotositler) developing and “hepatocellular carcinoma-HCC” or “hepatoma”, called, cancer, make up 80%. In less common in the United States is very common in Asia and Africa. Formation of cirrhosis (alcohol), hepatitis C infections play an important role B_ve. For any reason, patients with cirrhosis developed 3-year is 5% risk of developing HCC. In addition, moldy foods (especially legumes) is an important reason for the emergence of the disease in the Aflotoksin.Often difficult to diagnose. The top right of the abdominal pain, fatigue and weight loss is the most common clinical symptoms. 1 / 3 of cases jaundice occurs. Due to cirrhosis of the liver, abdominal fluid collection, the growth of the spleen may be bleeding and digestive system.
Liver ultrasound, computed tomography or MRI, is likely to diagnose. In particular portal or CT angiographic examinations with a much more useful results. 70% of Patients with liver biopsy and elevated alpha-fetoprotein-AFP “ensures the diagnosis. Although shout specific for the diagnosis of AFP, gradual increase of this test for HCC in Patients with chronic liver disease bring to mind.
The main treatment options listed as follows:
1. Surgical resection (lobectomy, right or left hepatectomy. and so on.)
2. Liver transplantation (cadaveric or living donor)
3. Alcohol injection (95% ethanol)
4. Cryotherapi (ice cream)
5. Devascularization (to eliminate the tumor blood supply)
6. Chemo-Embolization (Oncology drugs, blockage of the vessel supplying the tumor)
7. Chemotherapy (oncologic drugs)
8. Thermotherapy (Radiofrequency ablation-RFA)
In these methods, lesion, surgical removal of the single most important therapeutic method. Selected patient groups, as a surgical lesion of the liver. or half a portion (the left or right) by subtracting the long-term survival can be achieved. Unfortunately hepatoma ‘s, but 25-30%’t suitable for surgical treatment. Many of liver cancer (the diameter is large, important to keep blood vessels, liver spread outside the show, or be associated with liver cirrhosis in a large number of in advanced stages, etc.) is diagnosed when the lost the chance of surgical treatment.
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