肝尾状叶巨大肝细胞癌手术切除1例

肝癌电子杂志 ›› 2023, Vol. 10 ›› Issue (3): 93-96.

肝尾状叶巨大肝细胞癌手术切除1例

郎梦然¹, 王宏光¹, 蒙轩¹, 冯小龙², 王小雯¹, 赵建军^1,*

1.国家癌症中心/国家肿瘤临床研究中心/中国医学科学院肿瘤医院肝胆外科,北京 100021;
2.国家癌症中心/国家肿瘤临床研究中心/中国医学科学院肿瘤医院病理科,北京 100021

收稿日期:2023-06-21 出版日期:2023-09-30 发布日期:2023-10-25
通讯作者: ^*赵建军,E-mail：13910582458@163.com

Received:2023-06-21 Online:2023-09-30 Published:2023-10-25

摘要/Abstract

摘要： 由于手术切除的难度较大和术后出现肝功能衰竭的风险较高,因此巨大肝细胞癌（hepatocellular carcinoma,HCC）患者的治疗是比较困难的。供体来源较少、费用较高和术后复发率较高等问题导致肝移植术不是常规的治疗方式。其余的治疗方案,例如经肝动脉化疗栓塞（transhepatic arterial chemoembolization,TACE）和射频消融术（radiofrequency ablation,RFA）不能根治肿瘤,所以也不是巨大HCC患者的首选治疗方案。肝切除术是治疗巨大HCC的最佳方式。
本例患者肿瘤巨大,且肿瘤位于位置特殊的肝尾状叶,大大提升了手术难度。而且患者术前实验室检查肝炎指标和肿瘤标志物全部为阴性,联合影像学检查也无法明确诊断,通过多学科诊疗（multi-disciplinary team,MDT）团队专家讨论,选择手术切除治疗。术后病理结果为HCC,随访显示该例患者疗效确切,尚未复发。

关键词: 肝细胞癌, 巨大, 肝尾状叶, 手术切除

郎梦然, 王宏光, 蒙轩, 冯小龙, 王小雯, 赵建军. 肝尾状叶巨大肝细胞癌手术切除1例[J]. 肝癌电子杂志, 2023, 10(3): 93-96.

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