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中晚期肝细胞肝癌的预后很差,尤其是血管内有瘤栓的病人。减瘤手术结合其它综合治疗方法用于治疗中晚期肝细胞肝癌的指征尚不明了。该研究目的主要是明确减瘤手术治疗中晚期肝细胞肝癌并瘤栓的指征和预后。分析从1992年7月到2004年10月日本东部国家肿瘤中心医院治疗的晚期肝细胞肝癌合并血管内瘤栓的161病人。其中32例(20%)行外科手术(16例完全切除 CR、16例减瘤切除
The prognosis of advanced hepatocellular carcinoma is poor, especially in patients with tumor thrombus. The indications for the treatment of hepatocellular carcinoma in the advanced stage with tumor reduction combined with other comprehensive treatment methods are not yet clear. The purpose of this study is to clarify the indications and prognosis of tumor-reducing surgery in the treatment of advanced hepatocellular carcinoma and tumor embolus. Analysis of 161 patients with advanced hepatocellular carcinoma with endovascular embolization treated from July 1992 to October 2004 at the National Cancer Center Hospital in eastern Japan. Thirty-two (20%) patients underwent surgery (16 complete resection of CR and 16 tumor resection