[肝细胞癌的分期系统]。

U N Tumanova, A I Shchegolev
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引用次数: 0

摘要

它是关于肝细胞癌(HCC)的现有分类和评估系统及预后的文献资料。在一些分类中只考虑肿瘤组织的特征,在另一些分类中还使用生化和临床特征。有些系统可以预测患者的生存,而不管疾病处于哪个阶段,而其他系统则对单个阶段最有效。国际TNM分类被普遍接受,主要用于发展治疗方法和确定可切除HCC形式的预测。日本分期系统(JIS)主要推荐用于可手术患者。意大利分级(CLIP)则相反,其目的是分析不需要手术治疗的HCC。巴塞罗那肝癌分类被认为是最普遍的,因为它考虑到了疾病的阶段、肝实质的状况,而不依赖于治疗方法和患者的居住地。因此,分期体系的选择和疾病预后的评估应根据疾病的临床和形态学特征,考虑各种尺度的应用特点。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[STAGING SYSTEMS OF HEPATOCELLULAR CARCINOMA].

It is the data of literature on existing classifications and systems of assessment and prognosis of hepatocellular carcinoma (HCC). In some classifications takes into account only the characteristics of the tumor tissue, in others are used biochemical and clinical characteristics in addition. Some systems allow to predict the survival of patients regardless of the stage of the disease, while others are most effective for the individual stages. The international TNM classification is generally accepted for the development of treatment methods and determining the forecast mainly for resectable HCC forms. The Japanese staging system (JIS) is mainly recommended for operable patients. Italian scale (CLIP), on the contrary, is intended to analyze HCC, which is not subject to surgical treatment. The Barcelona classification of liver cancer (BCLC) is considered the most universal, because it takes into account the stage of disease, the condition of the liver parenchyma and does not depend on the method of treatment and the patient’s place of residence. Therefore, the choice of staging system and assessment of disease prognosis should be based on the clinical and morphological features of the disease, taking into account features of application of various scales.

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