中晚期肝癌经肝动脉化疗栓塞术后二期切除的临床分析  

Clincal Analysis of Secondary Resection after Transcatheter Hepatic ArteryChemoembolization in Patients with Mediate and Advanced Hepatic Carcinoma

作　　者：黄水清[1] 殷广福[1] 许正昌[1] 姜小清 奚晓风[1] 华长江[1] 贾绍昌[1] 

机构地区：[1]解放军八一医院

出　　处：《实用癌症杂志》1995年第4期246-248,共3页The Practical Journal of Cancer

摘　　要：９６例中晚期肝癌经导管肝动脉化疗栓塞治疗，其中１３例在肿瘤病灶明显缩小后，施行二期手术切除。首次治疗至二期手术时间为３２～２０６天，中位时间８６天。手术后标本经病理检查，发现１２例肿瘤病灶大部分坏死，但癌周有少量癌细胞存活，１例肿瘤病灶完全性凝固性坏死。这提示中晚期肝癌行肝动脉化疗栓塞后，应争取施行二期手术，消灭残癌。cases of the 96 patients with mediate and advanced hepatocellular cancer underwent secondary hepatectomyafter transcatheter hepatic artery chemoembolization(TC),by which the size of tumor and the AFP level were remarkablyreduced.The median interval between the first therapy and secondary tumor resection was 86 days with a range of 32～206days. Pathologic examination revealed that 12 patients had obvious necrosis in most part of the tumor with a few viable cancercells in the periphery, and 1 potient had complete coagulation necrosis in tumor foci.The results suggest that the secondaryoperation should be performed for the patients with mediate and advanced hepatic carcinoma after TCE so as to eliminate theresidual cancer.

关 键 词：中晚期 肝肿瘤 栓塞疗法 肝切除术 临床分析 

分 类 号：R735.705[医药卫生—肿瘤]