Clinically Hepatoma is very malignant disease.How to control and treat Hepatoma as to reduce the suffer and pain of the patient and to prolong the life of the patient in clinically is meaningful and worthy.If early diagnosis is made some of the Hepatoma can be treat.For B hepatitis and C hepatitis patient,general follow up for 4 - 6 months is needed. Examination for LFT with GOT,GPT,Bilirubin Alfa FP.Once Dx is confire.aggressive treatment must be made.1. Localize surgical treatmentSurgical resection of Hepatoma is redical treatment,however,most of the cases are too late for surgical due to poor liver function,(75% of the Pt are clinically chronic liver disease),bilateral lobe of liver are involve or extrahepatic metastasis.there are contraindication.Therefore resection rate only 10-25/5.If hepatoma is non resectable the progrosis is poor,few months sevival is noted,post resection with 5 years recurrent rate up to 83%2.Localize non surgical treatmentNon surgical or post surgical recurrent cases are indication for localize non surgical treatment,which are::percutaneous ethanol intral tumor injection(PEIT).Radiofrequency Ablation(RFA),Microablation./trans-arterial(Chemo) embolization.Generalize treatmentWhen regional lymph node metastasis or extrahepatic metastasis localize treatment bring poor results.when the main hilar system was invasion.trans arterial embolization is contraindication for the above casea,generalize treatment should be consideration.which involve chemotherapy.immune treatment.Liver transplantation Under the image examination if the tumor is localize at hepatic region,liver transplantation could bring good hope for this hepatoma patient.The patient of early stage with small hepatoma and liver cirrhosis,the result of liver transplantation is better then surgical resection.Traditional Chinese medication diagnosis and treatment with regulal principleTCM there is no Hepatoma this term, according to its symptom sign it belong to the categories of Chinese medicine so "call liver accumulation" "flank nodule" "qi staganat" "mass formation" "distesion" "flank pain" "jaundice".Fomation of hepatoma internally is due to Qi deficiency and blood insufficiency of the internal organ.Externally there is six evil Qi invasive,resulted liver accumulate,qi staganant,blood clothed with evil toxicin mixted,after period time resulted mass formation. "deficiency" "Clothed" "Toxicin"are the three main factor of the development of hepatome.According to the Chinese medicine treat by symptom sign and regular principle:1. Spleen deficiency with liver accumulate:treat with strengthen spleen with smooth of qi,clearance of dampness,reduce distension.2. Qi depress with blood stasis:treat with activation of blood stasis,flow of qi and reduce of mass.3. Heat dampness stagnantion toxin:treat with detoxication reduce of heat,drainage of liver and gall blader.4. Yin insufficiency of liver & kidney:treat with nutrition of liver and kidney,reduce clot with drainage mass.5. Early stage of hepatoma with:no symptom sign:treat with soften the the mass,reduce nodule clearance heat and detoxication.Combination of western medication with TCM by best method of treatment hepatoma,clinically combination of treatment for intracondication of surgical or late stage of hepatoma or post surgical resection,for the above cases,Chinese medicine should be the main way or with chemical drug and biological combination as to prolong treating course and promote the life quality and reduces the pain and have the denity of the patient,but this treatment is alternative. |