Kubo Shoji
Department of Hepato-Biliary-Pancreatic Surgery, Osaka City University Graduate School of Medicine, 1-4-3 Asahimachi, Abeno-ku, Osaka, 545-8585, Japan.
Clin J Gastroenterol. 2009 Apr;2(2):65-70. doi: 10.1007/s12328-009-0072-1. Epub 2009 Apr 8.
The outcome of treatment for hepatitis C virus-related hepatocellular carcinoma is still unsatisfactory because of the high rate of recurrence of cancer, including intrahepatic metastasis and multicentric carcinogenesis after treatment. The rate of recurrence, especially that of multicentric carcinogenesis, is affected by persistent active hepatitis and hepatic fibrosis caused by chronic hepatitis C. Interferon therapy improves the outcome after treatment of hepatocellular carcinoma by decreasing recurrence and preserving or improving liver function when treatment is successful. Radical treatment by anatomic resection and interferon therapy can markedly improve the outcome in patients with hepatitis C virus-related hepatocellular carcinoma.
丙型肝炎病毒相关肝细胞癌的治疗效果仍不尽人意,因为癌症复发率高,包括治疗后肝内转移和多中心癌变。复发率,尤其是多中心癌变率,受慢性丙型肝炎引起的持续性活动性肝炎和肝纤维化影响。干扰素治疗通过降低复发率并在治疗成功时维持或改善肝功能,从而改善肝细胞癌治疗后的效果。解剖性切除和干扰素治疗的根治性治疗可显著改善丙型肝炎病毒相关肝细胞癌患者的治疗效果。