The necessity of regular follow-up of liver cancer after operationHepatocellular carcinoma (HCC) is a kind of malignant tumor. Therefore, th
The necessity of regular follow-up of liver cancer after operation
Hepatocellular carcinoma (HCC) is a kind of malignant tumor. Therefore, there is a risk of recurrence after resection of hcc. If we can follow up on a regular basis, early detection of recurrence and metastasis, recurrence of metastases can still achieve better results.
According to the domestic data, the recurrence rate of 1, 3 and 5 years after radical operation of liver cancer was about 17.1%, and the rate was 32.5%. The results showed that more than half of the patients with liver cancer recurrence after the resection of liver cancer within 5 years, and also can be removed after recurrence, and the survival rate of the patients with reoperation was up to 40.8% by the year of surgery. Therefore, even if the recurrence of liver cancer after surgery, such as re resection can still significantly prolong the survival period. However, the basis of re resection is early detection of recurrence, and early detection of recurrence is a regular follow-up.
Regular follow-up of liver cancer after resection can be performed by alpha fetoprotein, B ultrasound and chest X-ray examination. If the preoperative AFP positive after resection of liver cancer decreased to normal, and then increased again, no chronic active liver disease can be explained, suggesting that recurrence of liver cancer. For patients with liver cancer who had a negative AFP before surgery, they should be followed up for alpha fetoprotein after recurrence. B ultrasound is a sensitive, convenient and inexpensive advantage of liver cancer recurrence is an important means of monitoring. Some patients with recurrence can be a recurrence of the lungs, it is necessary to take X ray chest radiography to monitor the recurrence of chest lesions.
In the B ultrasound can not be completely clear, should be timely CT examination, if still suspected of other parts of the transfer site, the feasibility of systemic isotope scan. After 5 years of general domestic demand every 3 months to check for alpha fetoprotein and B ultrasound, every 6 months to check a chest X-ray, an appropriate increase of first years. 5 years after the recurrence of the risk of reduced, can be carried out every six months, AFP and B ultrasound examination. The follow-up of liver cancer is a lifelong follow-up, the clinical experience of more than 20 years after the recurrence of surgery, it is worth attention.
Two, the risk of liver cancer follow-up
We have a history of hepatitis or hepatitis B virus markers positive or hepatitis C virus antibody positive, age in the definition of the population over the age of 35 for liver cancer in high-risk populations, the risk of a family history of liver cancer is higher. But this is not to say that high-risk groups will be suffering from liver cancer. In high-risk groups, people suffering from liver cancer is still very few. Usually every half a year need to regularly check the alpha fetoprotein and B ultrasound, if necessary, should be as far as possible to the experience of large hospitals to follow up, so as not to miss the opportunity for early diagnosis and treatment. Follow up of high risk group is an important method for early diagnosis of liver cancer. Early surgical treatment of liver cancer after five years survival rate was 70% - 80%.
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