| 联合cTACE和D-TACE治疗1例晚期肝细胞性肝癌伴肝内转移的体会 |
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| 引用本文： | 王方华,徐杰,苗春木,龚建平.联合cTACE和D-TACE治疗1例晚期肝细胞性肝癌伴肝内转移的体会[J].中国普外基础与临床杂志,2019(8):980-984. |
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| 作者姓名： | 王方华 徐杰 苗春木 龚建平 |
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| 作者单位： | 重庆医科大学附属第二医院肝胆外科;重庆市渝北区第二人民医院外科 |
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| 摘 要： | 目的总结联合传统的肝动脉栓塞化疗术(cTACE)和使用载药微球的肝动脉栓塞化疗术(D-TACE)治疗1例晚期肝细胞性肝癌伴肝内转移患者的经验体会。方法重庆医科大学附属第二医院肝胆外科于2018年10月收治了1例无法行根治性手术、行TACE的晚期肝细胞性肝癌患者,对该患者总共施行了3次TACE治疗,总结相关经验。结果经MDT讨论后,重庆医科大学附属第二医院对该患者施行了3次介入手术。第1次外院行cTACE治疗后复查CT检查示,肝脏病变内有碘化油沉积,且病灶较前稳定;第2次联合cTACE和D-TACE治疗后,复查CT检查示肿瘤内碘化油沉积较多,肿瘤较局限且明显缩小;第3次行cTACE治疗后,复查CT检查见肿瘤得到有效控制,无进展。第4次cTACE治疗后该患者已获访2个月,随访期间肝内病灶稳定,无进展。结论晚期肝细胞性肝癌伴肝内转移不能行根治手术时,TACE是最佳治疗方案,联合D-TACE与cTACE可以取得较好的临床疗效。
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| 关 键 词： | 肝细胞性肝癌 肝内转移 肝动脉栓塞化疗术 多学科治疗 |
Experience of combined treatment of advanced hepatocellular carcinoma with intrahepatic metastasis with cTACE and D-TACE |
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| WANG Fanghua,XU Jie,MIAO Chunmu,GONG Jianping.Experience of combined treatment of advanced hepatocellular carcinoma with intrahepatic metastasis with cTACE and D-TACE[J].Chinese Journal of Bases and Clinics In General Surgery,2019(8):980-984. |
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| Authors: | WANG Fanghua XU Jie MIAO Chunmu GONG Jianping |
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| Institution: | (Department of Hepatobiliary Surgery,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,P. R. China;Department of Surgery,The Second People's Hospital ofYubei District,Chongqing 401147,P. R. China) |
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| Abstract: | WANG Fanghua;XU Jie;MIAO Chunmu;GONG Jianping(Department of Hepatobiliary Surgery,The Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,P. R. China;Department of Surgery,The Second People's Hospital ofYubei District,Chongqing 401147,P. R. China) |
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| Keywords: | hepatocellular carcinoma intrahepatic metastasis transcatheter arterial chemoembolization multidisciplinary treatment |
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