Maligne Lebertumoren – Früherkennung und lokale Behandlung

Autor: G. Hübner, E. Lotterer, J Leßke, W.E. Fleig
Rok vydání: 2002
Předmět:
Zdroj: Visceral Medicine. 18:128-133
ISSN: 2297-475X
2297-4725
DOI: 10.1159/000064169
Popis: Malignant Liver Tumors – Early Detection and Local Treatment Hepatocellular carcinoma (HCC) is one of the five most common malignancies world-wide. In the Western world, it is predominantly found in patients with cirrhosis. The prognosis of untreated HCC is poor. In patients with overt symptoms of HCC, mean survival does not exceed 3–6 months. Surgical resection and orthotopic liver transplantation are the current options for curative treatment. Unfortunately, most lesions are not amenable to surgical treatment because of tumor size and location, impaired liver function, and co-morbidity. Therefore, early diagnosis of HCC is crucial, especially in populations at high risk. If a surgical option does no longer exist, local ablative therapies such as transarterial chemoembolization, percutaneous ethanol injection and radiofrequency ablation are alternatives. Until now, systemic drug treatment failed to prove its effectiveness or, much like octreotide and thymostimulin, is still in the phase of clinical testing.
Databáze: OpenAIRE