1.Early discover, early diagnose, aggressive treatment.To attain to discover in early days generally wanted clinical survey.Normal crowd a year a check-up;Hepatitis patient half year a check-up;Cirrhosis patient's a check-up in 3 months;AFP goes up to check once in 1~2 months.
2.The diagnosis of the liver cancer.Mainly is a few following items:First, is the history that inquires a disease, especially have already had no hepatitis background.
Secondly is a check-up, but for a lot of the patients are particularly earlier period the patient is to check don't come out of, later period liver cancer can Men and belly pack piece.
Analyze liver function, hepatitis virus moreover index sign and AFP, CEA and CA199.Particularly AFP value, 75% is recessiveness for male 25% in the patient of liver cancer, once going up, the very high time especially rise, supporting this diagnosis didn't be doubtful.If grew a lump inside the patient liver, AFP could not expel liver cancer for feminine gender.CEA is especially a digest way the tumor index sign of large intestine cancer, why want to lift here?Because the digest way tumor specially and easily takes place liver to transfer, if we finds out tumor in the liver can follow a rattan to touch the original hair cooking stove that the melon find out it.The CA199 is the tumor index sign of Dan way system, parts of the bile duct cell cancer in the liver cancer will also go up of, so we sometimes also want to check.
Still having is an image to learn a check, then the colorful B is super, CT, MRI.Some patients say that the doctor makes the best check for me, do MRI, isn't MRI more definitely good than CT?That is uncertain.Some patient the CT reflection is very intelligent, if the CT check came out, need not check MRI.Some patients are on the CT such as the resolution isn't a too high reflection isn't too clear, we can make a MRI to confirm once.So in the out-patient service check-up generally is a CT to add a colourful super or is MRI to add a colourful super.In time of see inside the liver a lump want to strengthen CT or strengthen MRI, in the aspects of discriminating good and malignant liver cancer of and discriminate original hair liver cancer, contain important function after the hair liver cancer, because of original hair liver cancer strengthen effect obvious but after hair liver cancer strengthen the effect isn't obvious.While diagnosing liver cancer why use "the colorful B is super" but need not "the black and white B is super"?Because the colorful B is super to see the blood circumstance in the lump, the black and white B is super could not see, but the blood is the importance basis that discriminates a good malignant tumor.Have a blood still need to use many colorful Pu Leis to measure this blood is an artery or vein frequency chart, if is an artery frequency chart, so we still need to measure blood resistance index number, if over 0.7, so this is the importance that diagnoses liver cancer basis.
If above a few check methods can not also confirm of, particularly AFP rises of the very high patient needs to make liver to share to wear a sting to live check, is also a pathology check, can make to the tumor cell a settle sex, because the chemotherapy medicine has different reaction to the different tumor cell type.
If can not also confirm some patients need to make the liver artery builds a shadow, it is the first step that gets involved a treatment.The artery gets into a pipe from first until liver artery, then create a shadow, can discover detections, such as CT and Ci resonance...etc. not of the sufferer of liver cancer.(the embryonic appearance more familiar than liver cancer, use the instrument in nowadays the check still don't come out of)Clinical up usually have a phenomenon like this, we didn't discover a lump, but AFP is very high, and has hepatitis background, after giving to get involved a treatment to these patientses, AFP sometimes declines to normal, turn over proof tumor to belong to embryonic appearance.
Prevent°from the principle of liver cancer
3.13.2009
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