Update on the Treatment of Hepatocellular Carcinoma.

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  • 肝細胞癌の治療ｕｐ‐ｔｏ‐ｄａｔｅ
  • カン サイボウガン ノ チリョウ up-to-date

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Current treatment of hepatocellular carcinoma (HCC) was reported. Small HCC can be detected by the close follow-up of the patients with chronic liver disease using diagnostic modalities, such as US, CT and serum tumor marker (AFP, PIVKA-II) measurements. Recent improvements in surgical techniques and preoperative and postoperative managements have increased the safety of hepatic resection. Consequently, the long-term survival following hepatectomy in patients with HCC have remarkably improved as well. While the development of non-surgical therapeutic procedures, such as transcatheter arterial embolization (TAE), percutaneous ethanol injection therapy (PEIT), microwave coagulation therapy (MCT) and radiofrequency ablation (RFA) have changed the indication for hepatic resection of HCC, early diagnosis and aggressive treatments for postoperative recurrence and second primary HCC still remains the most important strategy in prolonging the survival.

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