中晚期肝癌癌灶完全消失的影响因素初探

• 作 者: 黄挺 于尔辛
• 机 构: 上海医科大学附属肿瘤医院
• 出 处: 胃肠病学和肝病学杂志
• 发表日期: 1997年03期
• 关键词: 原发性肝癌 肝肿瘤 综合疗法 癌灶消失 Primary liver cancerComplete disappearanceMultiple treatment

５２例中晚期肝癌，经放射治疗、介入治疗（１９例）、瘤内药物注射（４６例）、中药治疗后４０例肝癌灶完全消失。在一定放射剂量下（＞１１Ｇｙ），ＴＮＭ分期（肿瘤的累及范围）（Ｐ＜００１），肿块大小（Ｐ＜０００１），影响肝癌灶的完全消失率。肿块越大，累及范围越广，则消失率越低。介入治疗对肿块单个、直径＞９ｃｍ≤１３ｃｍ者，能提高癌灶的完全消失率。对治疗后直径≤３ｃｍ癌灶，局部瘤内药物注射能提高完全消失率

In 52 cases of advanced liver cancer, 40 cases of liver cancer lesions completely disappeared after radiotherapy, interventional therapy (19 cases), intratumoral drug injection (46 cases), and traditional Chinese medicine treatment. At a certain radiation dose (>11 Gy), TNM staging (tumor involvement range) (P<001), and tumor size (P<0001) affected the complete disappearance rate of liver cancer lesions. The larger the mass, the wider the range of coverage, the lower the disappearance rate. Interventional treatment for a single mass with a diameter of >9cm≤13cm can increase the complete disappearance rate of cancer foci. For tumors with diameter ≤ 3cm after treatment, local intratumoral drug injection can increase the rate of complete disappearance