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外科研究与新技术 ›› 2023, Vol. 12 ›› Issue (3): 157-162.doi: 10.3969/j.issn.2095-378X.2023.03.001

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肝细胞癌合并门静脉癌栓诊治新进展

楼振邦1, 王康2, 程玉强2, 禹鸿鸣2, 程树群2   

  1. 1.广东药科大学第一临床医学院, 广东 广州 510006;
    2.东方肝胆外科医院肝外六科, 上海 200433
  • 收稿日期:2023-08-08 出版日期:2023-09-28 发布日期:2023-10-24
  • 通讯作者: 程树群,电子邮箱:chengshuqun@aliyun.com
  • 作者简介:楼振邦(1997—),男,硕士研究生,住院医师,从事临床肝胆外科工作
  • 基金资助:
    上海市重中之重研究项目(2023ZZ02005); 国家自然科学基金重点项目(82072618); 国家科技部重点研发项目(2022YFC2503700)

New progression in the treatment of hepatocellular carcinoma with portal vein tumor thrombosis

LOU Zhenbang1, WANG Kang2, CHENG Yuqiang2, YU Hongming2, CHENG Shuqun2   

  1. 1. The First clinical Medicine School of Guandong Pharmaceutical University ,Guangzhou 510006,Guangdong, China;
    2. Department of Hepatic Ⅵ, Eastern Hepatobiliary Surgery Hospital, Shanghai 200433, China
  • Received:2023-08-08 Online:2023-09-28 Published:2023-10-24

摘要: 门静脉癌栓是中晚期肝细胞癌(以下简称肝癌)的典型临床表现,也是预后不良的主要原因。近年来,随着靶免药物的相继入世,肝癌合并门静脉癌栓诊治理念和诊治策略都有了较大改变,如门静脉癌栓的分型分期,多学科诊治的流程,以及综合治疗的组合等。

关键词: 肝细胞癌, 门静脉癌栓, 刘程分期, 多学科综合诊疗

Abstract: Portal vein tumor thrombus is a typical clinical manifestation of advanced hepatocellular carcinoma(HCC), and it is also the main cause of death. In recent years, the idea and strategy of diagnosis and treatment of HCC complicated with portal vein tumor thrombosis have changed greatly with the successive use of targeted therapy and immunotherapy, such as the classification and staging of portal vein tumor thrombus, the process of multidisciplinary diagnosis and treatment, and the combination of comprehensive treatment.

Key words: Hepatocellular carcinoma, Portal vein tumor thrombosis, Lau-Cheng stage system, Multidisciplinary diagnosis and treatment

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