Bottleneck and strategies in the treatment of hepatocellular carcinoma with portal vein tumor thrombus
10.3760/cma.j.issn.1673-9752.2018.05.002
- VernacularTitle:肝癌合并门静脉癌栓治疗的瓶颈与对策
- Author:
Shuqun CHENG
1
;
Juxian SUN
;
Jie SHI
Author Information
1. 海军军医大学东方肝胆外科医院肝外六科
- Keywords:
Hepatic neoplasms;
Portal vein tumor thrombus;
Typing;
Multidisciplinary treatment
- From:
Chinese Journal of Digestive Surgery
2018;17(5):426-429
- CountryChina
- Language:Chinese
-
Abstract:
Hepatocellular carcinoma (HCC) is prone to invading portal vein system known as portal vein tumor thrombus (PVTT).PVTT is one of the main reasons for poor prognosis of HCC because of its rapid progress and lack of effective treatments.In recent years,with the development of new therapeutic concepts and methods,the curative effect of PvTr has been improved.But there are still many difficulties of treatment of PVTT:how to definite the indications of various treatment of PVTT,how to innovate treatment methods,how to carry out the multidisciplinary treatment and how to conduct high-quality evidence-based clinical research.The strategies need to be built for these bottlenecks.Chinese Expert Consensus on Multidisciplinary Diagnosis and Treatment of Hepatocellular Carcinoma with Portal Vein Tumor Thrombus (2016 edition) also provided a powerful reference experience for clinical treatment and research.Researchers should develop new treatment methods,popularize the idea of multidisciplinary treatment and conduct high-quality evidence-based clinical research in the future to improve the curative effect of PVTT patients.