More than 40 sifts and checks hepatocarcinoma regularly Hepatitis B and virus have illness coming on to endanger the inducement high

More than 40 sifts and checks hepatocarcinoma regularly Hepatitis B and virus have illness coming on to endanger the inducement high

There is hepatocarcinoma " Cancer king " Claim is it that our country every year die of about 344,000 people on hepatocarcinoma whether account for whole world hepatocarcinoma the 55%s of the death tolls. As to high mortality, the discovery proportion of the early hepatocarcinoma but it is relatively low. At " thematic seminar of new development of complex treatment of national hepatocarcinoma " that holds recently, the authoritative hepatocarcinoma expert appeals for: The crowd over 40, should notice that checks the liver Ultrasonography B and draws blood and test first child albumen regularly, especially the hepatitis B patient needs to carry on the regulatory treatment even more, is careful the condition worsens and develops into hepatocarcinoma.
Hepatitis B and virus bring out endangering the factor high of hepatocarcinoma
Until " whether crowd, community of Guangzhou, high to endanger the factor to investigate in hepatocarcinoma" Reveal hepatitis virus, aflatoxin pollute, get drunk and drinking water pollution, and liver fluke infect with bring out to endanger the factor while being high while being the five hepatocarcinoma.
"In Guangzhou, the hepatitis virus, especially hepatitis B and virus brings out primary dangerous factor of hepatocarcinoma, "The intersection of Zhongshan University and subsidiary tumour flat for professor to say in the intersection of centre of prevention and cure and hepatobiliary the intersection of surgery and honour Guo, "according to statistics, the person who carries virus of hepatitis B is 10% which reaches the population, and the danger of suffering from hepatocarcinoma of person who carries virus of hepatitis B is 200 times older than the normal crowd. "
On clinic, often running into the hepatocarcinoma patient goes through " chronic hepatitis - --Liver cirrhosis - --Hepatocarcinoma " Trilogy. The expert finds, more than 90% of the hepatocarcinoma patients suffer from hepatitis B, but the condition fluctuates repeatedly. Mr. Xiao is a hepatocarcinoma patient who suffers from hepatitis B, he says, the younger brother got hepatocarcinoma and passed away 6 years ago, he make liver function, check even at that time, found that there is hepatitis B, turned into liver cirrhosis one year later. Because of the economic reason, had never treated, delayed five years, did not go to the tumour hospital to seek medical advice until the nearest belly pain vigorously, the result verifies that has already reached the later period of hepatocarcinoma.
So, the hepatitis B patient can't ignore one's own condition, the antiviral treatment needing to standardize certainly, keep the condition steady, in order to reduce the emergence of liver cirrhosis and hepatocarcinoma.
Ultrasonography B and discovery of having a blood test in early days " Small hepatocarcinoma "
With the prevalence in Guangdong of hepatitis B, patients of hepatocarcinoma are increasing continuously too. " the annual hospital hepatology exceeds 1000 example hepatocarcinoma impatients " The hepatobiliary head of the department Chen MinShans of this institute say, " a patient find to come to the hospital to go to a doctor, later period hepatocarcinoma, find, appear, have abdominal distension full uncomfortable or secret anguish, lump of upper abdomen just see a doctor at the right when the physical examination usually in over 95%, a early one little hepatocarcinoma(international standard is a tumour diameter ' 3 centimetres) Accounts for less than 10% of the proportions " .
Because of have obvious symptom basically by early hepatocarcinoma, patient very much difficult to perceive oneself have, so the expert emphasizes, must pay attention to the physical examination of the health, the crowd should do the liver Ultrasonography B and draw blood and test first child albumen (AFP) regularly over 40 ,Could find in early days in this way " Small hepatocarcinoma " . And following high-risk group of hepatocarcinoma want, do one Ultrasonography B and first the intersection of child and albumen check half a year while being every, adopt CT to sift and check if necessary:
(1) Natural crowd in the sending area of the height of hepatocarcinoma;
(2) Have hepatitis medical history or HBsAg (+) ;
(3) There is family's history of hepatocarcinoma;
(4) Primary hepatocarcinoma excises a postoperative patient;
A scalpel is unable to drive away and exterminate everyone hepatocarcinoma
Malignant degree of hepatocarcinoma is very high, our country has illness coming on more than 300,000 every year, death is more than 300,000, the number of the infected is equivalent to death toll, and the death toll accounts for over half of death toll of hepatocarcinoma of whole world. At present, it is the best treatment means of the curative effect that the liver excises the skill, the survival rate of five years after the operation is about 30%-40%, but postoperative small hepatocarcinoma can be up to 50%-60%, big hepatocarcinoma is only about 20%.
It is obvious that finds hepatocarcinoma in early days, how important to therapeutic effect. However, as the surgical expert of liver and gall, Professor Chen MinShan says, only depends on a scalpel, it is very difficult to drive away and exterminate everyone hepatocarcinoma, because its transformation incidence is very high, may shift even if it is small hepatocarcinoma. So in whole treatment of hepatocarcinoma, emphasize " the early valid treatment, complex treatment, treat repeatedly " Three important principle.
Chen MinShan emphasizes finally, it is a magic weapon of treating hepatocarcinoma to perform the operation in the past and excise, a lot of different therapeutic method emerges now, these methods have their own strong points each, for example the radio frequency melts gram cures low hepatocarcinoma, molecule target and deals with later period hepatocarcinoma etc. to the medicine, the doctor should have flexible situation on the basis of the patient to use, make up each other, learn from other's strong points to offset one's weaknesses, in order to reach maximum control tumour and grow.
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