肝细胞癌的分期与治疗策略

外科研究与新技术 ›› 2013, Vol. 2 ›› Issue (4): 251-254.

肝细胞癌的分期与治疗策略

张万广(综述)，张必翔(审校)

华中科技大学同济医学院附属同济医院肝脏外科中心，武汉 430030

出版日期:2013-12-28 发布日期:2013-04-25
作者简介:张万广(1964-),男,博士,主要从事肝胆外科及器官移植研究。
基金资助:
“十二五”国家科技重大专项资助项目(2012ZX10002016-004);“十二五”国家科技重大专项资助项目(2012ZX10002010-001-004);卫生部部属(管)医院临床学科重点资助项目(201043901,NO439-50 [2010])

Treatment strategies based on evaluation of staging systems for hepatocellular carcinoma

ZHAN Wan-guang, ZHANG Bi-xiang

Hepatic Surgery Center,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China

Online:2013-12-28 Published:2013-04-25

摘要/Abstract

摘要： 肝细胞癌准确的分期决定肝癌的最佳治疗模式和判断预后。该文综合分析了目前国际上肝细胞癌常用的7种分期系统包括Okuda分期、美国癌症联合协会和国际抗癌联盟TNM分期、意大利肝癌研究组 CLIP分期、法国评分法、巴塞罗那肝癌小组BCLC分期、日本联合分期、香港中文大学预后指数等的特点及其局限性。提出针对肝细胞癌治疗及预后判断可利用的评价系统，便于与国外同类数据相比较，并希望借鉴其中的要点内容，建立我国普遍使用的分期标准。

关键词: 肝细胞癌, 分期, 治疗策略

Abstract: A accurate staging system for hepatocellular carcinoma(HCC) should address all of these issues to help predict survival outcomes and decide optimal treatment strategies.In this review article,currently available integrated staging systems including the Okuda classification,the American Jiont Committee on Cancer and International Union on Against Cancer TNM stage (TNM),the Cancer of the Liver Italian Program (CLIP),the French classification,the Barcelona Clinic Liver Cancer (BCLC),Japan Integrated Scoring (JIS),Chinese University Prognostic Index (CUPI) are presented,and their characteristics and applicability for current HCC patients are assessed.This will be important for us to use those classifications rationally when we treat HCC patients and analysis prognostic evaluation system,and also facilitate to compare with similar foreign data.We hope to establish a new staging systems for common use in China based on other currently classification systems.

Key words: Hepatocellular carcinoma, Stage, Treatment strategies

中图分类号:

R735.7

张万广(综述)，张必翔(审校). 肝细胞癌的分期与治疗策略[J]. 外科研究与新技术, 2013, 2(4): 251-254.

ZHAN Wan-guang, ZHANG Bi-xiang. Treatment strategies based on evaluation of staging systems for hepatocellular carcinoma[J]. Surgical Research and New Technique, 2013, 2(4): 251-254.

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