Why is the silent liver cancer, why is it late?Experts appeal: Early screening and early treatment are critical

Jimu Journalist Liao Shiqi

Correspondent Liu Shanshan

Expert business card

Name: Cai Changchun

Position: Director of Hepatobiliary and pancreatic surgery in Nanjing Road Hospital of Wuhan City Central Hospital

Good at: clinically, common diseases, multiple diseases and dysfunction of hepatobiliary and pancreatic surgery, such as: liver tumor, bile duct tumor, pancreatic tumor, hepatopathy bile duct cancer, door vein hypertension, biliary stones, tumor tumors and other diseases such as diagnosis and treatment Experience, launching special operations such as ionized liver resection and autologous liver transplantation, laparoscopic pancreas duodenum, laparoscopic accurate liver resection, laparoscopic venous intravenous flow, and single -hole laparoscopic technology.

Outpatient time: Nanjing Road Courtyard District Monday morning, Thursday morning

Cai Changchun (Photo Conferring in Wuhan Central Hospital)

my country is a country with high incidence of liver cancer. Because its early symptoms are not typical, liver cancer is often ignored because of "silent" and was not discovered until the middle and late stages.

Why did someone suddenly find out that liver cancer is advanced? What are the connections between hepatitis and liver cancer? Is liver cancer destined to be the "fate" of patients with hepatitis? On August 17, Cai Changchun, director of the liver and gallbladder and pancreatic surgery of Nanjing Road Hospital of Wuhan City Central Hospital, was a guest of "Citizen's Lecture Hall", which should be scientifically controlled by the general citizen's hepatic cancer.

Be careful! Alcohol will shorten the process of liver cancer

Director Cai Changchun introduced that the liver is the largest digestive organ of the human body and the "detoxifier" of the human body. However, the liver is also a "silent organ". Even if there is a lesion, there are generally no symptoms in the early stage. To this end, many people feel that they are usually developed into the hospital for hardrims of liver cirrhosis and even liver cancer.

It was found in long -term clinical observations that hepatitis, cirrhosis, and liver cancer are the "trilogy" that is constantly evolving. Related studies have shown that viral hepatitis that is closely related to the cause of liver cancer mainly includes hepatitis B and hepatitis C. Among them, hepatitis B is the most common. If hepatitis is repeated for a long time, it is easily developed into cirrhosis and even liver cancer.

Hepatitis B virus develops to liver cirrhosis, which generally takes 10 to 20 years, but if hepatitis B patients drink for a long time, the process may be greatly shortened. For those with hepatitis B, the liver is "very injured". Alcohol will inhibit the regeneration repair of liver cells to a certain extent and exacerbate the damage to the liver. Therefore, in addition to regulatory antiviral treatment, patients with hepatitis patients should also avoid alcoholism, smoking, unreasonable medication and other behaviors to aggravate liver damage.

Don't worry! Athlete protein and color Doppler ultrasound screening

Director Cai Changchun introduced that liver cancer usually has no symptoms in early stage, but as the tumor progresses, the following symptoms may occur: the upper abdomen is mild to moderate pain, loss of appetite, fatigue, bloating, ascites, no obvious weight loss or weight loss, etc. Essence Therefore, it is particularly critical to improve your awareness of anti -cancer prevention and active regular physical examination or cancer screening.

What are the high -risk groups of liver cancer? Director Cai Changchun introduced that one is patients with a history of hepatitis B or hepatitis C or hepatitis C; the other is to often drink alcohol or even alcoholism. There are patients with alcoholic liver and fatty liver; third, people with the history of liver cancer family.

Director Cai Changchun said that early screening methods for liver cancer are mainly B -ultrasound and tumor tumor markers. If B -ultrasound appears liver tumors, CT and MRI need to be confirmed. High-risk groups of liver cancer need to do germinated ultrasound and nail protein (AFP) examination every six months; some patients do not rise, and some patients need to detect blood sugar antigen 19-9 and abnormal coagonase original complexes. People over 40 years of age are recommended to check regularly every year to find out abnormal examination.

Director Cai Changchun suggested that in daily life, people must develop good living habits and eating habits, eat more fresh vegetables and fruits and high -quality proteins, eat less pickled products, expire with mildew foods, exercise appropriately, control weight appropriately , Try to avoid drinking, stay away from bad habits. At the same time, it is necessary to take regular medical examinations to do a good job of cancer screening, improve the early detection rate and treatment rate of the disease, and improve the quality of life and survival.

Don't panic! Liver cancer is not irresistible

The prognosis of liver cancer is closely related to early discovery and early treatment. Director Cai Changchun introduced that early liver cancer can be cured by surgical resection and local ablation. In the middle and advanced stage of liver cancer, hepatic arterioscience chemotherapy, systemic chemotherapy, molecular targeted therapy and other patients can extend the survival period. Symptoms support treatment.

Liver cancer resection is the preferred treatment method of liver cancer, but it needs to evaluate the scope, liver function, and systemic condition of tumor. The basic principle of liver cancer resection is to remove the tumor cleanliness while retaining sufficient cutting and liver function.

During more than 6 months of pregnancy, liver cancer was found, and then experienced three recurrences. In just over a year, Ms. Fang (Hua surname) suffered 4 strikes. At the end of May this year, she found Director Cai Changchun for help. For Ms. Fang, who has three relapses, the tumor resection is cleaned through surgery and is sufficient to be cut. However, because the tumor is located at the root of the tail -shaped lobe and the vein of the middle hepatic vein, it is closely attached to the important blood vessels such as the lower cavity vein, and the range is large, resulting in the violation of the first, second, and third liver doors.

The most tricky situation during the operation is that the tumor is packed around the large main vein, and the blood vessels, the hepatic door, and the outer hepatic bile duct will not be combined with the treatment., Will affect the return of liver and recovery after surgery.Director Cai Changchun proposed a bold attempt to "borrow" a left renal vein to rebuild the vein of the vein of the liver.In June, Director Cai Changchun and the team performed surgery for Ms. Fang, which lasted for 11 hours and finally completed this difficult operation.After surgery, Ms. Fang switched to the intensive medical ward, and the postoperative pathological report prompted the surgery to achieve the cure resection effect.Director Cai Changchun pointed out that liver cancer is not equal to terminal illness. Early discovery and early treatment, and actively face it. Even in the middle and advanced liver cancer, the patient's survival can be significantly extended through the current treatment methods.

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