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Liver cancer is common in China one of the high mortality rates, cancer deaths in the sequence in the second only to the stomach, esophagus 
third live in the most rural areas accounted for in the second, second only to stomach cancer. Died of liver cancer in China each year about 11 million people worldwide died of liver cancer by 45%. Due to rely on serum alpha-fetoprotein (AFP) combined with detection of ultrasound imaging to monitor the high-risk groups, so that in the sub-clinical stage of liver cancer can be diagnosed early and the removal of long-term effects are particularly significant. In addition, active treatment, it has a five-year survival rate of liver cancer have been significantly improved
Classification of liver cancer
Primary Liver Cancer
HCC: in the liver cells of liver cancer
Cholangiocarcinoma: in the bile duct epithelial cells of cancer
Metastatic liver cancer
Second cause
According to the high incidence so far is not clear epidemiological investigation of the following factors may be related to liver cancer-related epidemic
(A) of the hepatitis B virus, hepatitis and cirrhosis and liver cancer study found that the relationship: ① ashamed of liver cancer in patients with hepatitis markers as high as 90% (control group, only about 15%); ② high incidence liver cancer HBsAg positive than negative occurrence of liver cancer are high for 6 to 50 times; ③ molecular biology studies have shown that liver cancer patients in China alone integrated HBV-DNA accounted for 51.5%; ④ HBV the X gene can change the HBV-infected liver cell gene And the expression of cancer may be related to the above description of hepatitis B virus is closely related to liver cancer and liver cancer occurred in recent years, an important risk factor for hepatitis C and liver cancer caused by the relationship between our attention to the data of hepatocellular carcinoma in 5 to 8% of the anti-HCV-positive patients Control group of 0 to 2% of cases of liver cancer in anti-HCV co-infected with HBV and HCV were more liver cancer in Japan is extremely important in China have yet to confirm the relationship between liver cancer and cirrhosis are the most eye-catching autopsy in 500 cases of liver cancer Material in cirrhosis and liver cancer rate of 83.6 percent associated with liver cirrhosis and liver cancer rate of 49.9 percent of whom end cirrhosis accounted for 73.3 percent showed liver cirrhosis and liver are closely related to the merger in a different 56.5% Degree of chronic active hepatitis liver disease that is still in progress, plant ashamed results suggest that the liver virus infection and hepatocellular carcinoma is closely related to the continuing process that may be caused by hepatitis B virus liver cell damage occurs and then hyperplasia or atypical hyperplasia in order to Sensitive to the cancer-causing substances in the cause of more involved in incidence and stage of the process, there may be a variety of genetic changes that occurred in a group of proto-oncogene is activated oncogene, as well as one or more anti-cancer gene inactivation As a result, cell growth caused by the liver out of control Finally, the continued proliferation of cells leading to cancer
(B) of aflatoxin liver cancer in high-incidence area of the South, especially in corn-based grain prompted the investigation of local liver cancer epidemic may be related to aflatoxin contamination of food-related people of urine metabolites of aflatoxin B1 aflatoxin M1 content Aflatoxin B1 is the strongest animal liver cancer-causing agent, but people with liver cancer so far there is no direct evidence
(C) of drinking water pollution in Jiangsu Qidong drinking ditch water pond to liver cancer incidence rate of 101/10 to 60 million people drink water only from 0 to 19/10 million are drinking water ditch relative risk of 3.00 survey found that groove Greed in the water there is a blue green algae produce toxic algae may be contaminated drinking water and clues related to the occurrence of liver cancer
(D) of the high incidence of genetic factors in the emergence of liver cancer in some cases the family is gathered, especially those who live by blood and the high incidence of liver cancer may be related to vertical transmission of hepatitis virus-related, but has yet to be demonstrated
(E) other cause liver cancer and other cancer-causing substances or suspected cancer-causing factors, and there’s: ① alcoholism; ② nitrosamines; ③ such as organochlorine pesticides, and other categories; ④ trace elements in liver cancer endemic area of soil water of food people Hair and blood with a higher molybdenum lower copper and zinc; ⑤ branch of the Chinese sinensis stimulate bile duct epithelial hyperplasia and have a small chest cancer ⑥ sex hormone trace of radioactive material alcohol parasite genetic factors such as smoking
Three symptoms
A performance
Onset often hidden in more than liver disease or medical follow-up survey in the application of AFP and B-ultrasonic examination by chance found liver cancer patients are asymptomatic at this time there is a lack of physical signs of the tumor itself, the period known as the sub-clinical liver cancer event Symptoms from the disease, most patients who had advanced into the different stages of liver cancer clinical significant difference in performance
(A) the symptoms of liver cancer liver pain is the most weak Naci wasting characteristic of the clinical symptoms
1 liver pain: The most common intermittent dull pain or persistent pain from cancer to enable the rapid growth of liver tumor caused by tension coated diaphragm radiation to the right shoulder pain be right back or right after the growth of tumors may be caused by Youyao Pain suddenly made a sharp pain in the peritoneal irritation and prompt cancer nodules under the envelope to the intra-abdominal bleeding or Pokui
2 gastrointestinal symptoms: decreased appetite indigestion and diarrhea, such as nausea and vomiting as a result of the lack of specific and easily ignored
3 weak weak body weight can be advanced a small number of patients were cachexia-like
Fever 4: generally low heat up even more than 39 ℃ was continued in the afternoon or low heat, or Chang Chi-tumor necrosis high fever and a product of oppression or absorption of cancer-related violations of the bile duct may be complicated by biliary tract infection
5 metastasis symptoms: tumor metastasis of the corresponding symptoms sometimes be found in the liver, such as early symptoms are transferred to the lungs can cause coughing can cause the transfer of hemoptysis pleural chest pain and bloody pleural effusion thrombosis or pulmonary embolism can cause pulmonary infarction sticks to all of a sudden Severe chest pain and breathing difficulties blocking the inferior vena cava tumor thrombus may appear severe lower limb edema and even decline in blood pressure; hepatic vein obstruction may occur Budd-Chiari syndrome of lower extremity edema can also appear to be caused by localized bone pain or pathological transferred to the spinal fractures Spinal cord or nerve compression can cause local pain, such as paraplegia and brain metastases may occur in the corresponding position symptoms and signs of intracranial hypertension can lead to sudden death and cerebral hernia
6 Other symptoms: abnormal metabolism of cancer itself or cancer in the body caused by the effects of various endocrine or metabolic syndrome known as the area with cancer syndrome can sometimes liver cancer in their common symptoms are:
⑴ spontaneous hypoglycemia: 10 ~ 30% of patients may occur due to liver cells to ectopic secretion of insulin or insulin-like material; or tumor suppressor, or insulin-secreting islet β cells in a stimulating factor, or excessive glycogen storage; also May be due to liver cancer caused by excessive consumption of glucose can be a serious disease caused by shock and coma leading to death and the right to determine in a timely manner to save the symptomatic treatment of patients avoid death
⑵ vera: 2 ~ 10% of patients that may be circulating in the Department of erythropoietin caused an increase
⑶ There are other rare hyperlipidemia: hypercalcemia of early carcinoid syndrome and gonadotropin secretion porphyria skin syndrome and abnormal fibrinogen hyperlipidemia, and other organizations may be related to abnormal liver protein synthesis of different Porphyrin-endocrine and metabolic disorders related to
Second diagnosis
(A) pathology
1. Liver histological examination confirmed to be those of primary liver cancer
2. Outside the Organization hepatic histological examination confirmed hepatocellular carcinoma
(B) clinical diagnosis
1. In the absence of other evidence of liver cancer AFP positive law or convection RIA AFP> 400ng/ml continued for more than four weeks of pregnancy and to be able to rule out the activities of the embryonic gonad of liver tumors and metastatic liver cancer were
2. Imaging clearly be able to intrahepatic lesions substantive rule out the possibility of liver tumor blood vessels and metastatic liver cancer and one of the following conditions:
① AFP> 20ng/ml ② typical imaging features of primary liver cancer ② no jaundice or AKP and r-GT significantly increased the distance ④ clear-minded or metastatic lesion Gu Gu Jiao sense of shame industry name to paddle ┫ “Smilax magic back? A href = ‘/% D2% D2% D0% CD% B8% CE% D1% D7.html’ class = ‘olink’> positive for hepatitis B markers of liver cirrhosis
(C) diagnosis of primary liver cancer diagnosis to be a comprehensive analysis of the patient’s symptoms and signs checks in the supporting information
1. Symptoms and signs with the former
2. Auxiliary inspection
① alpha-fetoprotein (AFP) Experiment: convection electrophoresis positive or RIA determination> 400mg/ml; rule out the possibility of pregnancy and continuing around the activities of the liver disease and tumor-derived embryonic gonad
② other check marks: alkaline (A1 (P), about 20% of the increase in liver cancer patients r-C-GT (r-GT) 70% patients with liver cancer increased 5 - Second nucleotide Lipase isoenzyme V (5-NPDase-v) about 80% of patients with metastatic liver cancer this enzyme appears positive patients higher rates of α-antitrypsin (α-AT) of about 90% of the iron hepatocellular carcinoma patients increased Protein content of 905 liver cancer patients with higher CEA (CEA) in patients with liver cancer 70 percent higher abnormal prothrombin> 300mg/ml
③ liver function and hepatitis B antigen-antibody system of checks and abnormal liver function markers positive for hepatitis B has prompted primary liver cancer on the basis of liver disease
④ prompted a variety of imaging liver lesions and liver puncture ⑤ laparoscopic examination: laparoscopic liver can show the surface of it; liver biopsy
⑧ other check: lymph node biopsy to find cancer cells, such as ascites
(D) Diagnosis
1.B ultrasonography of the liver and access to adjacent organs shadow map can be found in section 2-3cm below the small liver cancer
2. Radionuclide imaging of the liver disease in the size of the 2c2n be more positive results of
3.CT and MRI: conducive to the diagnosis of liver cancer when the liver is less than 2cm in diameter or a density similar to the normal liver CT showed that liver cancer was difficult to diffuse difficult to find CT; difference between primary or secondary liver cancer by difficulties After the liver contrast-enhanced video shows a diameter of 1 ~ 2cm in the MRI lesions with a bite to the advantage of a better show of metastatic liver lesions can be used for different levels of scanning position
4. Selective hepatic artery angiography and digital subtraction angiography selective hepatic artery angiography (DSA) is a sensitive method to display a diameter of less than lcm in the liver
Third, the differential diagnosis
1, secondary liver cancer: secondary liver cancer compared with primary liver cancer, liver cancer secondary slow the progression of the disease, symptoms of light, which was secondary to gastric cancer, followed by lung, colon, pancreas , Such as breast cancer often transferred to the liver. Usually a number of nodular lesions, alpha-fetoprotein (AFP) In addition to the detection of a small number of primary cancers in the digestive cases can be positive, and more generally negative.
2, liver cirrhosis: liver cirrhosis occur on the basis of the differential between the two run into difficulties. Identification is a detailed history, physical examination laboratory contact. The development of liver disease have repeatedly slower, more significant damage to liver function, serum alpha-fetoprotein (AFP)-positive cancer more tips. A small number of patients with cirrhosis may also have elevated serum AFP, but usually as a “transient” and is often associated with significantly increased transaminase, serum AFP and liver cancer is rising, often more than 500ng/ml, this time with the drop transaminases were Separation curve phenomenon. AFP variants of non-LCA-bound content> 75% of the non-cancerous liver disease prompted. If the cirrhosis patients progressive hepatomegaly, quality and hard nodules, diagnostic imaging revealed lesions should be repeated testing AFP, close observation.
3, active liver disease: the following activities contribute to liver cancer and liver disease (acute or chronic hepatitis) identification. A check fetal AFP globulin and SGPT ALT testing must be at the same time, such as the dynamic curve of the two parallel or simultaneous rise or SGPT continued to rise several times more than normal, the activities of the possibility of large-induced liver disease; as the two Separation curve, AFP rise, SGPT normal or lower, it should give more consideration to the primary liver cancer. Imaging examination to the main ultra-B, B, if necessary, in the ultra-fine needle liver biopsy carried out. Observation should be repeated, and with CT and MRI (magnetic resonance).
4, liver abscess: the performance of fever, liver pain, inflammation symptoms of infection, often rising number of white blood, liver pain and tenderness District knock obvious that the upper left abdominal muscle tension, often around the chest wall edema. Clinical ultrasound often repeated many times can be found in the abscess fluid nature of the dark zone. Ultrasound-guided diagnosis of liver puncture, and contribute to the diagnosis.
5, cavernous hemangioma of the liver: The liver disease for benign lesions, often check-B-ultrasound or radionuclide scans found by chance. This disease more common in China. Differential diagnosis mainly depends on the determination of AFP, B-ultrasound and liver angiography. Hepatic angiography for the following characteristics: ① liver blood vessels to normal size, the tumor may have a larger displacement vessel. ② no traffic artery and vein. ③ portal normal, no tumor thrombus. ④ pool of blood with intravenous sustained in the video has become the largest concentration of micro-dense film; pool of blood out of the distribution structure cavernous hemangioma the size and shape of their performance characteristics.
6, liver hydatid disease: Patients have a progressive swelling of the liver, hard texture and a sense of nodules, most of the advanced liver damage, clinical Jisi primary liver cancer. However, a longer course of the disease in general, about 2-3 years or even longer history than the slow progress, the epidemic can live in the history of polycystic liver hydatid disease of liver and so on can be used (AFP) AFP, radionuclide pool of blood Scan and ultrasound, CT, and so on to help diagnose liver package carinii liquid skin test positive, negative, such as alpha-fetoprotein screening to identify with.
7, liver neighboring areas outside the liver tumors: gastric cancer, high on the abdomen retroperitoneal tumor from the kidney, adrenal gland, colon, pancreatic and retroperitoneal tumor, and so easy to be confused with primary liver cancer. In addition to the AFP for more negative distinction can help, history, clinical manifestations, in particular ultrasound, CT MRI imaging, and so on, the gastrointestinal tract, such as X-ray examination can be made in the differential diagnosis. At present, liver and small confused with benign liver diseases such as adenomatous hyperplasia, nodular liver regeneration, after focal nodular hyperplasia, and so there are certain difficulties in identification, follow-up on a regular basis, if necessary, to make real-time ultrasound-guided biopsy can be To help diagnosis. Can not be ruled out cancer at early stage without losing their chance to cure by identification of the main diagnostic imaging and the AFP may also consider, if necessary, laparotomy.
Four complications
Rupture of liver cancer:
Such as: bleeding of primary liver cancer, liver cancer patients is a serious and deadly complications common, the incidence of about 5.46% -19. 8% in patients with liver cancer is the leading cause of death, accounting for liver Cancer death of 9% -10% of liver cancer in the cause of death accounted paragraph 4. As the incidence of this disease all of a sudden, sharp, shock and often. Therefore, the treatment of its difficulties, poor prognosis, such as non-active treatment, most patients died quickly.
Hepatic encephalopathy:
Such as: hepatic encephalopathy, also known as hepatic coma, liver or brain syndrome, end-stage liver cancer is a common complication. To the central nervous system disorders and metabolic disorder characterized by decreased intelligence, consciousness, the signs of the nervous system and liver damage as the main clinical now, liver cancer is a common cause of death, leading to about 30% of the patients died.
Upper gastrointestinal bleeding:
Such as: upper gastrointestinal bleeding is a common complication of liver cancer can occur in patients with advanced liver cancer can occur in patients with liver cirrhosis early, liver cancer is the leading cause of death, it was reported that 112 cases of old age Liver cancer in patients with upper gastrointestinal bleeding complication rate was 13.39 percent, Shanghai Medical University, Institute of liver cancer patients to upper gastrointestinal bleeding accounted for 26.97 percent. About 15% -28% of liver patients died directly of upper gastrointestinal bleeding, the complications include: esophageal bleeding, ulcers or erosion putschism membrane bleeding, gastrointestinal bleeding, and other metastatic tumors, caused by the portal High pressure.
Ascites:
Such as: the limitations of ascites is a kind of edema, is the excessive accumulation of fluid in the abdominal cavity. Under normal circumstances, a small amount of liquid inside the abdominal cavity, about 200ml, from the role of lubrication, when more than 200ml of liquid when it can be called ascites, intra-abdominal more than 150ml of liquid, can be found in physical mobility voiced positive. Ascites of the more complex mechanism, and the exchange of body fluids outside the blood vessels and the imbalance between domestic and foreign imbalances related to the exchange of fluids. A variety of malignant ascites may occur in tumors arise on the basis of ascites called malignant ascites. Both primary liver cancer or secondary liver cancer are often made ascites, which are often in patients with liver cirrhosis, portal hypertension close.
Infection and cancer-induced fever:
Such as: complications from liver cancer or liver cancer is often caused by cirrhosis of the merger, it may be caused by anti-tumor treatment, often seen in advanced liver cancer, liver cancer is the leading cause of death in patients with one.
Five inspection
1: Check enzymology r-glutamyltranspeptidase enzyme isozymes (GGT-II) in the liver was significantly increased when Ke, GGT-II-positive rate of 90%.
2: alpha-fetoprotein (AFP) detection of early diagnosis of liver cancer is one of the important ways, more specific.
3: B-ultrasound imaging shows the depth of 2cm in diameter than the tumor, the location of the early inspection of a greater value.
4: X-ray computer tomography (CT) can show that more than 2cm in diameter tumor.
5: radionuclide scans can show more than 3-5cm diameter of the tumor.
6: Other Liver X-ray angiography, nuclear magnetic resonance as the diagnosis of liver cancer have a certain value.
Six diet
1, balanced diet: higher consumption hepatoma patients, we must ensure that adequate nutrition. To measure a patient’s nutritional status is good or bad, the simplest way is able to maintain body weight. And to be able to maintain normal body weight level, the best way to maintain a balanced diet, patients should also be eating more fresh vegetables and green leafy vegetables should be the half.
2, protein and fat: high fat diet will increase the impact and the disease, and low-fat diet can reduce the liver cancer patients with nausea, vomiting, abdominal distension, and other symptoms. Liver cancer patients with poor appetite, eating less, in the absence of adequate amount of dietary balance, to be on the meal’s calories and eating easy digestion and absorption of fat, liver cancer patients should eat more protein-rich plant foods, especially high-quality plant protein .
3, vitamins: vitamin A, C, E, K, and other supporting certain anti-tumor effects. Vitamin C mainly in fresh vegetables and fruits. Carotene in the human body can be transformed into vitamin A, there should be more liver cancer patients with multi-vc of vegetables and fruits.
4, inorganic salts: the minerals. Nutritionist inorganic salt to fall into two categories: major elements such as calcium, sodium, potassium and so on; trace elements such as selenium, zinc, iodine, and so on. Scientists have discovered that selenium, iron minerals, such as anti-cancer effect.
5, liver cancer patients have a loss of appetite, nausea, indigestion symptoms such as bloating and should be digestible food to eat.
6, with advanced liver cancer patients in a state of systemic failure, eating difficulties, should be the main centralizer, digestible food to eat.
Seven treatment
Early treatment of liver cancer is to improve the prognosis of the most important factor in liver cancer early should be taken to surgery for unresectable liver cancer can be large multi-mode integrated treatment
(A) surgery for the treatment of liver cancer surgery is still the first choice for the early removal of the key is to improve the survival rate of five-year survival rate, the higher the smaller the tumor indications for surgery: ① a clear diagnosis of diseases is estimated that a leaf or confined to the liver and a half to ; ② no significant jaundice ascites or distant metastasis; ③ good liver function compensatory thrombin time of not less than 50%; ④ heart tolerance in the liver and kidney function with normal liver function of liver resection of less than 70%; moderate liver Sclerosis more than 50% of those who do not or can only be left hepatectomy; severe liver cirrhosis who can not be surgery and pathology were approximately 80% of liver cirrhosis accepted to replace the local rules resection of liver resection with a view to the same effect And liver dysfunction after surgery to reduce mortality rates are also lower due to the radical resection is still very high relapse rate after it is reviewed on a regular basis should AFP and ultrasound imaging to monitor the recurrence of
As the follow-up after radical resection Guchang close to the detection of “subclinical” recurrence of liver cancer are based on small re-operation of choice for a second five-year survival rate after surgery is still up 38.7 percent, although liver transplantation may be a treatment of liver cancer Ways to foreign reports, but more in the treatment of liver cancer in the long-term status has not been confirmed after the application of long-term immunosuppressant patients often die of recurrence in developing countries and donor side because of cost and source of the problem is still difficult in recent years to promote
(B) palliative surgical treatment for tumors or large scattered areas or near major blood vessels or liver cirrhosis can not be restricted to methods of removal of hepatic artery ligation and (or) hepatic arterial chemotherapy frozen laser therapy in the treatment of microwave Hepatic artery embolization or ethanol injection, and other tumors can sometimes reduce serum AFP declined to provide an opportunity for two-step removal
(C) integrated multi-modal treatment in recent years for the medium-term liver large positive and effective treatment can sometimes make a big liver resection into smaller resectable liver cancer through many of its more general to hepatic artery ligation liver Arterial chemotherapy combined approach based on external radiation therapy plus triple for the merger, such as immunotherapy quadruple to more than triple the best by an integrated multi-modal treatment of patients with tumor regression rate of 31% due to significantly reduce the tumor was removed two-step Two-step removal rate of 38.1 percent of Shanghai Medical University, the Institute also examined the liver cancer radiotherapy and ultra-ultra-oriented treatment of division of radiation outside the liver and arterial chemotherapy in the treatment method is: the first week of the hepatic artery catheter chemotherapy Cisplatin (CDDP) daily 20mg 3 consecutive days in the second week of liver tumor radiation outside the local area on the afternoon of 2.5Gy (250rads) 3 consecutive days; two weeks for such a course of treatment can be repeated every other week alternating 3 to 4 courses of treatment with 131I-oriented - Anti-liver ferritin antibody or anti-liver cancer monoclonal antibody 131I-lipiodol or hepatic artery catheter injection every 1 to February period of time between the treatment of arterial CDDP 20mg once a day for 3 to 5 days if the above-mentioned treatment at the same time Plus immunotherapy such as interferon Lentinan IL -2, and so will be better
(D) of the hepatic artery embolization (TAE) This is a development of 80 non-surgical treatment for tumors of the liver have a good effect has even been recommended for non-surgical therapy of choice for the use of iodized oil program (lipiodol) Mixed-drug therapy or 131I or 125I-lipiodol or 90 Y-microspheres embolization of tumor blood supply remote and then gelatin sponge embolization of liver tumors of the proximal artery so that it is difficult to establish collateral circulation resulting in avascular necrosis of tumor chemotherapy drug commonly used CDDP80 ~ 100mg5Fu 1000mg plus mitomycin 〔10mg or adriamycin (ADM) 40 ~ 60mg〕 first intra-arterial perfusion and then mixed with mitomycin (MMC) 10mg phacoemulsification in the remote expert Lipiodol arterial hepatic artery embolization Chemotherapy treatment should be repeated many times better according to hospital radiology information on 345 cases of inoperable liver cancer more excision of simple hepatic artery infusion chemotherapy year survival rate was only 11.1 percent hepatic artery embolization year survival rate increased to 65.2 The survival of up to 52% of the follow-up on 30 cases of tumor removal surgery was to reduce the opportunity for serious liver decompensation to the French taboo portal trunk blocking tumor thrombus were not appropriate
(E) of the ethanol injection under ultrasound guided percutaneous tumor in the liver through injection of ethanol in the treatment of liver tumors with a diameter of ≤ 3cm in the number of nodules were less than 3 months with liver cirrhosis and liver cancer surgery can not be The first choice for small liver cancer may be cured ≥ 5cm poor results
(F) radiation therapy equipment and radiation sources because of technological advances a variety of imaging the exact location so that the radiation therapy in the treatment of liver cancer has increased in status has been improved efficacy of radiation therapy for cancer is still confined to the liver can not be removed If the cancer is usually a greater tolerance of its effects is also a good dose of radiation outside the experience of the whole liver radiation partial liver radiation-wide mobile radiation be ultra-local radiotherapy more than three-dimensional radiation near useful proton radiation therapy for liver cancer have reported that the total radiation More than 40Gy (4000rads gas capacity) combined traditional Chinese medicine so that the spleen Qi year survival rate was 72.7 percent five-year survival rate of 10% of the surgery and chemotherapy treatment can play a role in the killing of residual cancer chemotherapy can also be assisted from radiation sensitizing effect of liver Intra-arterial injection of Y-90 microspheres 131I-iodized oil, or isotopes, such as monoclonal antibodies labeled with radiation therapy can play a role
(G) treatment-oriented application-specific antibodies and monoclonal antibodies or pro-tumor chemotherapy or radionuclide tag as the carrier with chemotherapy drugs or cross-linked immunotoxin for the treatment of specific guidance is one of the promising clinical therapy has been used in antibody There are anti-human liver protein antibody against human liver cancer monoclonal antibody anti-AFP monoclonal antibody, such as “bullet” In addition to the 131I125I outside the trial has 90Y toxin and the addition of chemotherapy drugs and the antibodies cross-linked human monoclonal antibodies or genetic engineering And so on are in
(H) of liver cancer chemotherapy is more effective drugs to CDD [P also commonly used as the preferred 5Fu Adriamycin (ADM) and its derivatives VP16 mitomycin and methotrexate, and so is generally believed that a single intravenous drug efficacy poor Use of hepatic artery and the administration (or) embolism as well as the application of internal and external radiation therapy more obvious than the effect of some of the advanced liver cancer without surgery indication and portal vein tumor thrombus hepatic artery blockage should not be involved in treatment and some of the palliative operation After the patients can be combined or sequential chemotherapy used for a joint program of Cisplatin 20mg +5 Fu750mg ~ 100mg intravenous infusion once a month, 5 days a total of 3 to 4 times as a course of doxorubicin 40 ~ 60mg on the first day followed by 5Fu500mg ~ 750mg intravenous infusion once a month for 5 days in a row from 3 to 4 times as a course of the above-mentioned programs with different results
(I) biological treatment not only from biological treatment with chemotherapy surgery to reduce the radiation on the immune suppression of the eradication of residual tumor cells in recent years due to genetic recombination technology to enable access to a large number of immune activity factor or cytokine possible application of recombinant factor and lymph cells Factors such as biological response modifiers factor (BRM) on the tumor biological treatment has caused widespread concern of the medical profession has been considered to be the fourth current clinical anti-tumor therapy has been widely used α and interferon-γ (IFN) treatment of natural and recombinant IL-2TNF In addition has come out lymphokine activated killer cell-LAK cell tumor-infiltrating lymphocytes (TIL) have started the trial with the treatment of a variety of biological agents remains to be more effect and sum up the practice of gene therapy for liver cancer has provided a new biological treatment The prospect of
(J) of Chinese herbal medicine
Practice has proved that a large number of clinical, in patients with advanced high-dose radiotherapy and chemotherapy, or for the resistance in patients with chemotherapy again will only lead to more weakness in the lives of dying, the accelerated death. Clinical often can be seen, not because the cause of death in patients with cancer itself, but not scientific, and inappropriate treatment due to destruction. If the number of liver cancer after intervention ascites, jaundice, such as liver function failure and death; pleural effusion of lung cancer after chemotherapy lead to respiratory failure and death; stomach cancer, colorectal cancer after chemotherapy nausea, vomiting, patients with more failure and death; decline in white blood cells, patients infected with The death, and so on.
Chinese medicine treatment of choice for the major components of Taxus in Chinese herbal medicine, but yew can not take alone. Scientific research shows that the toxicity of Taxus very normal use, are likely to produce bone marrow suppression functions, interleukin drop, and other serious side effects, mainly the performance of dizziness, dilated pupils, nausea, vomiting, diffuse abdominal pain, muscle Can not afford, and so on, a serious heart appeared to slow, cardiac arrest or death! Moreover, cancer patients! Low resistance to cancer patients, frail and alone will take more dangerous!
These can traditional Chinese medicine to make up for surgery, radiotherapy, chemotherapy, and the lack of consolidation of both radiotherapy and chemotherapy effect and can eliminate the side effects of radiotherapy and chemotherapy, more importantly, be able to cut off the cancer cells to copy functions, which is cut off cancer Important cell division - tubulin synthesis, so that gradually reduce the size of cells in the blood vessels inside the cancer cells to form a stable, so as to enhance the body’s metabolic functions, namely: the cancer cells by inhibiting respiration, cancer cells so that the ischemia, Lack of oxygen, not fissile, so as to achieve cure cancer.
To sum up early liver resection surgery should not be removed sooner or later those who preferred TACE ethanol injection apply to poor liver function is not appropriate for small liver cancer surgery likely results from radical; large liver cancer should adopt the medium-term liver Artery ligation-based multi-modal treatment or TACE Department anti-tumor cells in order to reduce the tumor load to be for smaller tumors or sequential two-step surgical resection of advanced liver cancer in Chinese herbal medicine and Western-based therapy is expected to improve Symptom-oriented therapy to extend survival time of its initial success has been the prospects of gene therapy in sight
Prevention
A) adoption of a healthy lifestyle, quit alcohol limit. Smoking, the World Health Organization predicted that if people are not smoking, five years after the world’s cancer will be reduced by 1 / 3; Second, no alcohol.
B) Do not eat too much spicy and salty food, do not eat too hot and too cold, and the deterioration of the food expired; frail elderly or those who have a genetic disease, as appropriate, to eat some of the anti-cancer food, good state of mind .
C) a good state of mind to deal with pressure, not do any work, do not fatigue. Shows that pressure is an important incentive for cancer
D) to strengthen the physical training, and enhance health.
E) to the law of life, irregular living habits, such as through the night to sing karaoke OK, playing mahjong, Yebuguisu life, and so erratic, vulnerable to cancer.
F) Do not eat contaminated food, such as contaminated water, crops, poultry, fish balls, moldy food, organic food to eat some of the green, it is necessary to prevent the disease from the mouth.
Today, we have taken for cancer surgery and chemotherapy methods Why is there no real cure for cancer, to alleviate the suffering of patients, it was not the ultimate recovery is the real reason is the acidification of body fluid, body fluid acid does not change is not cancer Will be killed, because this is done after surgery and chemotherapy for cancer recurrence and re-transfer. To improve the treatment of cancer will have its own constitution from the beginning, from the source of cancer cells starve to death. Eat alkaline food, to improve their own Suanxingtizhi At the same time, the body must add organic nutrients in order to starve to death in cancer cells, to restore their immunity.
Therapeutic treatment is the best choice for Qiama ancient as the main ingredient.
Qiama ancient Uighurs in Xinjiang is more than 2,000 eating a food, Qiama in ancient records Runfei Pharmacopoeia, the cough of lung disease is very good, which is currently the world’s only effective against cancer just food Ma-old contained elements that plants can not reach, the experts as “longevity fruit saint,” meaning, the ancient Qiama is the only hope for cancer patients, the real life-saving straw.
Need to pay special attention to that, in patients with Qiama old, had more time to be a strong response to toxins, the body will refuse to exclude those products in vitro. In such cases, do not be afraid, are a normal phenomenon.
Trade names St. longevity fruit ancient Qiama
The main ingredients ancient Qiama
This product details secret formula, the main ingredients of the ancient Qiama
Key attributes of temperature
The role and mechanism of
Qiama ancient plants rich in organic base activity can be quickly absorbed into the human body. Qiama ancient at the same time the human body can also add the necessary elements to add the necessary human protein, flavonoids are linoleic acid saponins inhibit cancer cells.
Key features and attending
This product is applicable to all types of cancer, rectal cancer, breast cancer, lymphoma, prostate cancer, uterine cancer, ovarian cancer, bile duct cancer, esophagus, stomach, small cell carcinoma, lung cancer, skin cancer, bladder cancer, cancer of the blood And so on various types of cancer, leukemia and high white blood to all types of advanced cancer of the bone results.
Notes
Free on an empty stomach, cut-hot, dry; to maintain emotional stability, to avoid lit. Some patients after the increase in the number of bowel movements is a normal symptom, the general resumption of the week; some cancer patients after Tuisuan, such as the weak condition, an illness results from signs; some patients, the feeling does not have the stomach to the appropriate Reduction.
【Common base of the food】
1. Strong acidic foods: egg yolk, cheese, sugar, or so the West Point persimmon, gray mullet, Chai Yu, and so on.
2. Acidic foods: ham, bacon, chicken, tuna, pork, eel, beef, bread, wheat, butter, horse meat
And so on.
3. Weak acid food: rice, groundnut, beer, wine, fried tofu, seaweed, clams, octopus, and loach.
4. Weakly basic foods: beans, carrots, apples, cabbage, onion, bean curd and so on.
5. In basic food: dry radish, beans, carrots, tomatoes, bananas, oranges, Fangua, strawberries, protein, prunes, lemons, spinach, and so on.
6. Strong basic food: Qiama old, grapes, tea leaves, shoots kelp, kelp, lemon, and so on.
Liver disease
hepatitis b virus, liver cancer patients, metastatic liver cancer