Integrated Treatment of Hepatic Cancer

  • Mengchao Wu
  • Feng Shen
  • Jiamei Yang
  • Weiping Zhou
  • Yiqun Yan
  • Xiaohui Fu

Abstract

Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide, with 717,000 new cases reportedly diagnosed in 2007. It is the third most common cause of cancer-related death. It accounts for more than 90% of primary liver cancer. The rates of HCC in men are 2 to 4 times higher than in women. It usually develops between 35 and 65 years of age, when people are most productive and have most family responsibilities. 80%–90% of cases of HCC develop in cirrhotic liver, and cirrhosis is the strongest predisposing factor for HCC (annual incidence rate of 2%–6% in cirrhotic patients). Chronic hepatitis B viral (HBV) infection is the predominant risk factor in Asia and Africa, and chronic hepatitis C viral (HCV) infection in Western countries and Japan. Without proper treatment, the prognosis is very poor and the median survivals for patients with early and advanced tumors are 6–9 months and 1–2 months, respectively. The goal of management is “cancer control”, a reduction in its incidence and mortality as well as an improvement in the quality of life of patients with HCC and their families. This chapter aims to discuss the current therapy algorithm of HCC, focusing on its recent advances.

Keywords

Hepatocellular Carcinoma Liver Resection Integrate Treatment Portal Vein Tumor Thrombus Small Hepatocellular Carcinoma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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Copyright information

© Zhejiang University Press, Hangzhou and Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Mengchao Wu
    • 1
  • Feng Shen
    • 1
  • Jiamei Yang
    • 1
  • Weiping Zhou
    • 1
  • Yiqun Yan
    • 1
  • Xiaohui Fu
    • 1
  1. 1.Eastern Hepatobiliary Surgery HospitalSecond Military Medical UniversityShanghaiChina

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