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肝癌多学科诊疗现状与发展方向

Current Status and Future of Multidisciplinary Team in Hepatocellular Carcinoma

  • 摘要: 我国肝癌发病率和死亡率高,严重威胁人民健康,且发现时多为中晚期。针对肝癌高危人群进行筛查,做到“早诊早治”是改善我国肝癌患者生存的重要举措。外科手术、局部消融、介入治疗、放射治疗及药物治疗均是肝癌治疗的有效手段,适用于不同分期的肝癌患者。我国肝癌患者病情复杂,单一的治疗手段难以满足临床需求,以疾病为中心的肝癌多学科诊疗模式是延长肝癌患者总生存期并最大限度地改善患者生存质量的重要手段。近年来,不同治疗手段的快速发展为肝癌治疗带来了新的机遇,肝癌多学科诊疗模式也随之发生变化,新的挑战也随之而来,仍有许多问题亟待解决。

     

    Abstract: Hepatocellular carcinoma (HCC) poses a significant hazard to public health in China because of its high incidence, high mortality, and high rate of advanced stages. Early detection and treatment of HCC by screening for high-risk populations is instrumental for enhancing survival rates among patients with HCC in China. Liver resection, local ablation, interventional therapy, radiotherapy, and drug therapy are all effective treatments for patients with HCC, and appropriate treatments can be selected based on different tumor stages. However, the condition of patients with HCC in China is complicated, and no single specialty offers the complete spectrum of care. The disease-centered multidisciplinary team for HCC is a crucial method to prolong the survival of patients with HCC and optimize their quality of life. Recent advancements in different disciplines have brought new opportunities in HCC treatments and altered multidisciplinary management approaches. Meanwhile, new challenges have emerged, and many problems have yet to be addressed.

     

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