Can liver cancer ascites be cured? Three treatment methods can be used to treat liver cancer ascites

Can liver cancer ascites be cured? Three treatment methods can be used to treat liver cancer ascites

Can ascites caused by liver cancer be cured? Liver cancer can cause many complications, which will have a certain impact on the patient's health and psychology. Ascites caused by liver cancer is one of them, and it can also cause more serious harm. There are many treatments for ascites caused by liver cancer, and attention should be paid to reasonable treatment. The following is a relevant introduction about whether ascites caused by liver cancer can be cured.

1. Surgery is the main treatment method and the first choice of treatment. Surgical resection is still the first choice for the treatment of liver cancer. Early resection is the key to improve the survival rate. The smaller the tumor, the higher the five-year survival rate. The indications for surgery are: ① patients with a clear diagnosis and estimated lesions limited to one lobe or half of the liver; ② patients without obvious jaundice, ascites or distant metastasis; ③ patients with good liver function compensation and thrombin time not less than 50%; ④ patients with heart, liver and kidney function tolerance. In patients with normal liver function, the amount of liver resection shall not exceed 70%; in patients with moderate cirrhosis, the amount of liver resection shall not exceed 50%, or only the left hemihepatectomy can be performed; in patients with severe cirrhosis, liver resection cannot be performed. Surgery and pathology have confirmed that more than 80% of liver cancer is combined with cirrhosis. It is generally recognized that local resection instead of regular liver resection has the same effect, and liver function disorder is alleviated after surgery, and the surgical mortality rate is also reduced. Since radical resection still has a high recurrence rate, it is advisable to regularly check AFp and ultrasound imaging after surgery to monitor recurrence.

2. Minimally invasive targeted therapy is an auxiliary treatment measure and cannot play a fundamental therapeutic effect. Once liver cancer develops to the late stage, most patients have lost the best surgical treatment opportunity. At this time, the treatment is aimed at alleviating the pain of liver cancer patients and prolonging their survival time.

3. Radiotherapy can shrink tumors and improve the patient's condition. Due to the progress of radiation sources, radiation equipment and technology, the accurate positioning of various imaging examinations has improved the status of radiotherapy in the treatment of liver cancer and its efficacy. Radiotherapy is suitable for liver cancer that is still localized and cannot be removed. Usually, if a larger dose can be tolerated, its efficacy is also good. External radiotherapy has undergone whole liver radiation, local radiation, whole liver moving strip radiation, local hyperfractionation radiation, and stereoscopic radiation. The total amount exceeds that of protons used for liver cancer radiotherapy. It has been reported that the total amount of radiation exceeds 40Gy4000rads volumetric volume combined with traditional Chinese medicine for regulating qi and strengthening spleen can achieve a one-year survival rate of 72.7% and a five-year survival rate of 10%. Combined treatment with surgery and chemotherapy can kill residual cancer, and chemotherapy can also assist radiotherapy to sensitize. Intrahepatic artery injection of Y-90 microspheres, 131I-iodized oil, or isotope-labeled monoclonal antibodies can play an internal radiotherapy role.

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