What is the treatment plan for metastatic liver cancer? Pay attention to these points

What is the treatment plan for metastatic liver cancer? Compared with primary liver cancer, metastatic liver cancer is more harmful and more difficult to treat. Therefore, for such a difficult cancer, how to choose the treatment method is crucial. Let's take a closer look at how to treat it.

In recent years, the treatment of secondary liver cancer has made great progress. Due to the improvement of the follow-up system, the application of new imaging examination technology and the detection of serum markers, the opportunities for early diagnosis and early treatment of secondary liver cancer patients have increased, and their survival rate has been correspondingly improved. The treatment of secondary liver cancer should be combined with the treatment of the primary lesion. The current treatment methods include surgical resection, chemotherapy, hepatic artery embolization chemotherapy and biological therapy.

1. Surgical treatment:

1) Indications for surgical treatment:

① The primary cancer can be removed or has been removed.

②The metastatic cancer nodule is single or confined to one lobe.

③The liver metastasis is estimated to be the only residual cancer in the body.

④The patient’s general condition is good, and his heart, lung and kidney functions can tolerate the surgery.

2) Surgical method:

The main ones are liver lobectomy and hepatic artery ligation. American scholars reported that in patients with 3 or less metastatic lesions, if the metastatic lesions are removed with clean margins, the 5-year survival rate can reach 30% to 40%, and the recurrence rate of liver metastasis is less than 20%; for patients with 4 or more liver metastatic lesions, if liver lesion resection is performed, it is rare to survive for 3 years, and the lesions in the liver usually increase.

Except for carcinoid tumors, all visible liver metastases should be removed as much as possible in the absence of extrahepatic metastases. It is generally believed that liver metastases from colorectal cancer are the best indication. In addition, secondary liver cancers of Wilm tumors, leiomyosarcomas, and retinal melanoma also have good therapeutic effects after liver resection.