Qasmi Imran Masoud, Naeem Tahir, Farrukh Saeed, Mirza Shakeel Ahmed, Khan Muhammad Asad, Bhatti Muhammad Asghar
Department of Radiology, CMH, Peshawar.
J Coll Physicians Surg Pak. 2006 Sep;16(9):617-21.
With the rising incidence of chronic liver disease caused by viral hepatitis, hepatocellular carcinoma is showing a corresponding rise worldwide. Surgery remains the mainstay of treatment, but patients unfit for surgery or liver transplantation form the bulk of those presenting with this disease. Palliative treatments are being used to treat those and radiological modalities form the mainstay of the treatment. Radiology plays a major role in the diagnosis, treatment and follow-up of hepatocellular carcinoma. Current radiological treatment modalities include percutaneous ethanol ablation, radiofrequency ablation and trans-arterial chemoembolization. This update highlights the recent advancements in the field and compares their relative merits and demerits.
随着病毒性肝炎所致慢性肝病发病率的上升,肝细胞癌在全球范围内呈相应上升趋势。手术仍然是主要的治疗方法,但不适合手术或肝移植的患者占了该病患者的大部分。正在采用姑息治疗来治疗这些患者,而放射治疗方法是主要的治疗手段。放射学在肝细胞癌的诊断、治疗及随访中发挥着重要作用。目前的放射治疗方法包括经皮乙醇消融、射频消融和经动脉化疗栓塞。本综述重点介绍了该领域的最新进展,并比较了它们的相对优缺点。