肝上肿瘤15公分转移了，可以手术吗 肝癌晚期并且因为大到20公分不能进行手术还可以移植肝脏吗？
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\u56de\u7b54\u8005\uff1a\u533f\u540d 10-17 12:43
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转移了，最好是保守治疗吧，别手术了
绛旓細鈶㈠嚌琛鍔熻兘闅滅锛氳倽鐧屾偅鑰鑲鍔熻兘闄嶄綆瀵艰嚧鍑濊鍥犲瓙鍚堟垚鍑忓皯锛岀氦缁磋泲鐧芥憾瑙ｆу楂樺強琛灏忔澘璐ㄩ噺寮傚父锛屽鑷村嚌琛闅滅锛屼竴鏃﹀彂鐢熸秷鍖栭亾鍑鸿锛屽父甯镐笉鏄撹嚜琛屽仠姝傗懀鑲濈檶缁撹妭鐮磋鍑鸿锛岃娑插彲鑷儐閬撶郴缁熸祦鍑猴紝鎺掑叆鑲犻亾銆傗懁鑲濈檶杞Щ锛鐩存帴娴告鼎鑳冭偁閬撻粡鑶滆绠★紝寮曡捣娑堝寲閬撳嚭琛銆傝倽鐧屽悎骞舵秷鍖栭亾鍑鸿鐨勬不鐤椾富瑕佷负姝㈣鍜屾姉浼戝厠锛...
绛旓細鑲琛绠＄槫鏄壇鎬х殑锛屾病鏈夌檶鍙樹箣璇淬傛棤璁烘庝箞鏍凤紝楂樿鍘嬫槸闇瑕佺Н鏋佹帶鍒剁殑銆傚缓璁滅枏閫氬垎娴佲濊倽鑳嗘竻鐞嗙郴鍒椾腑鑽不鐤楋紝浠ユ秷闄ょ棁鐘讹紝鎺у埗澧為暱銆傚鐦や綋瓒呰繃8鍘樼背锛澧為暱杩呴燂紝鐥囩姸涓ラ噸锛岃嵂鐗╀笉鑳芥帶鍒讹紝寤鸿鎵嬫湳娌荤枟銆傚钩鏃惰娉ㄦ剰淇濇寔鎯呯华骞崇ǔ锛屼笉瑕佸姩杈勭敓姘旂潃鎬ョ殑锛岄ギ椋熸竻娣★紝灏戦杈涜荆涔嬬墿锛屾垝鐑熼厭銆傚彲閫傚綋澶氶鐢...
绛旓細浜嬪悗璇佹槑锛屾垜鐨勭寽娴嬫槸瀵圭殑锛屽洜涓哄湪鍏ラ櫌鍚庡啀娆℃鏌瓒呮椂锛屾垜姝ヨ鍑轰綇闄㈤儴澶栭潰鐨勫皬鍚冨簵涔板寘瀛愰澶村悆锛屽洖鏉ュ埌浣忛櫌閮ㄩ棬鍓嶆椂锛岀獊鐒堕棿鍙鑲鍖哄墽鐑堢柤鐥涳紝鍐锋睏鐩村啋锛岀棝寰楁垜宸偣璺湪鍦颁笂锛岀洿涓嶈捣鑵版潵锛屾垜鍒嗘瀽锛岃繖鏄疊瓒呯殑瓒呭０娉㈠埡婵鑲跨槫锛屽洜涓哄皢杩10鍏垎鐨勫ぇ瀹朵紮锛岀◢绋嶆湁鐐硅交寰殑鍒烘縺鐨勮鍥狅紝閮戒細闅忔椂鐮磋浜嗭紝鍥...
绛旓細闄堟斂鍥戒粙缁嶏紝鍏嶇柅娌荤枟铏戒负鏅氭湡鑲濈檶娌荤枟鐨勬柊瓒嬪娍锛屼絾鍥犲崟鐙娇鐢ㄥ厤鐤不鐤楃殑鎴愭晥鏈夐檺锛屼粎绾15%鑷20%鎮ｈ呰兘鏈夋晥鎺у埗鐧岀粏鑳烇紝鐩墠涓村簥涓婂彂鐜版斁灏勬不鐤桯alcyon鍚堝苟鍏嶇柅娌荤枟锛屼笉浣嗚兘娑堥櫎鑲濊偪鐦わ紝鏇磋兘浣胯繙绔偪鐦ゆ秷澶憋紝绉颁负銆岃繙绔厤鐤叡楦ｆ晥搴斻(Abscopal Effect)銆傛斁灏勮偪鐦ょ涓讳换鐜嬪崥姘戝垯琛ㄧず锛岃繎鏈熺爺绌跺強涓村簥涓婂彂鐜帮紝...
绛旓細娌荤枟鑲琛绠＄槫鐨勬渶浣宠嵂鐗╁涓嬶細1銆佷腑鑽不鐤楄倽琛绠＄槫锛氫腑鑽殑瑙掑害鏉ヨ锛岀練缇婇銆佹按鐗涜銆佺墰榛勩佽丹鑺嶆竻鐑噳琛姝㈢棝;鏌磋儭銆侀粍鐨牳銆佺礌纾拡绛夌悊姘斿紑閮;涓瑰弬绾㈣姳娲昏鍖栫榾;鐐掑北鐢层佺殏瑙掑埡銆佸窛瓒宠蒋鍧氭暎缁撱佽蛋绐滅粡缁滐紝閮藉鑲濊绠＄槫鏈夊緢澶х殑甯姪銆傝繕鍙互鐢ㄦ煷鑳°侀儊閲戙侀粍鐨牳銆佺礌纾拡绛夎姘旇В閮佺殑鑽墿锛岄厤涓婁腹鍙...
绛旓細(1)娉ㄦ剰瑙傚療鐥呮儏鐨勭獊鐒跺彉鍖:鍦ㄦ湳鍓嶆姢鐞嗚繃绋嬩腑,鑲鐤剧梾鍙兘鍙戠敓澶氱鍗遍噸骞跺彂鐥,濡傚師鍙戞ц倽鐧岀牬瑁傚嚭琛鏃,绐佺劧鍙戠敓鎬ユц吂鑶滅値琛ㄧ幇鍙婂唴鍑鸿琛ㄧ幇:閮ㄥ垎鐥呬汉鍙彂鐢熶笂娑堝寲閬撳ぇ鍑鸿銆佽倽鎬ц剳鐥呯瓑銆傚皯鏁扮梾浜轰害鍙洜鑳嗛亾鍑鸿鑰岃〃鐜板嚭涓婃秷鍖栭亾鍑鸿鐥囩姸銆(2)蹇冪悊鎶ょ悊:鐢变簬琛ㄧ幇杈冮噸鐨勭柤鐥涖佸彂鐑侀粍鐤搞佽惀鍏讳笉鑹,鎴栫敱浜庣梾浜哄娌荤枟...
绛旓細鍙槸澶у娌″暐鐥囩姸灏卞彲鑳戒竴杈堝瓙閮藉彂鐜颁笉浜嗭紝涓浜涗汉鏄綋妫鏃舵墠鍙戠幇锛屼竴鑸皬浜5鍏垎鐨鑲琛绠＄槫涓旀偅鑰呮棤涓嶉傜殑鐥囩姸鍙渶瑕侀殢璁胯瀵熷氨琛岋紝涓嶇敤娌荤枟銆傚浜轰綋鏃犲奖鍝嶃傜壒鍒ぇ鐨勮倽琛绠＄槫寰堝皯瑙侊紝浣嗘槸澶у瀷鐨勮绠＄槫鏄撳帇杩懆鍥寸殑鍣ㄥ畼缁勭粐寮曞彂鐥囩姸锛屽彈鍒板墽鐑堢殑澶栭儴鎵撳嚮鏄撶牬瑁傦紝鍙湁鐢熷懡鍗遍櫓銆傝繖绉嶅缓璁敖鏃╂墜鏈不鐤椼
绛旓細灏戞暟鐨勫泭鑲垮唴鍚湁娓呮緢閫忔槑鐨勬恫浣擄紝濂藉儚涓涓按鐞冧竴鏍凤紝浣嗗ぇ閮ㄥ垎鐨勫泭鑲匡紝灏ゅ叾鏄緝灏忕殑鍥婅偪鍐呭苟娌℃湁浠讳綍鐗╄川銆傚湪瓒呭０娉笅锛屽彲浠鐪嬪埌涓涓垨鑰呭涓泭鑲匡紝澶х殑鐩村緞鍙揪10鍘樼背锛岃屽皬鐨勭洿寰勫嵈鍙湁1鍘樼背銆備絾涓嶈鍥婅偪澶у皬銆佸灏戯紝涓鑸兘娌℃湁涓嶈垝鏈嶇殑鎰熻锛屼篃涓嶄細褰卞搷鍒鑲濊剰鍔熻兘銆傚泭鑲挎槸濡備綍浜х敓鐨勶紝杩樻病鏈変竴涓...
绛旓細绗竴銆佸鍙戞鑲鍥婅偪鍙兘闅忕潃骞寸邯澧為暱锛屽憟鐜版暟鏃ユ剤鏉ユ剤澶氥佹剤鍙樻剤澶х殑瓒嬪娍銆傚綋鍥婅偪鍙堝ぇ鍙堝鏃讹紝浼氬洜鑲濊偪澶э紝鑰屽嚭鐜拌吂鑳銆佽吂鐥涖佹伓蹇冦佸憰鍚愮瓑鐥囩姸銆傜浜屻佸鍙戞ц倽鍥婅偪鐨勫ぇ灏忎笉涓锛屽皬鐨勬湁涓鍏垎浠ヤ笅鐨勶紝澶х殑鍒欐湁15鍏垎浠ヤ笂鐨勶紝鏁扮洰鍒欏寰楁暟涓嶆竻銆傚煎緱娉ㄦ剰鐨勬槸锛屾湁50%鐨勫鍙戞ц倽鍥婅偪鐥呬汉锛屼篃浼氬嚭鐜板鍙...
绛旓細鑲濆泭鑲匡紝閫氫織鐐硅灏辨槸鑲濊剰涓殑鈥滄按娉♀濄傜粷澶у鏁扮殑鑲濆泭鑲块兘鏄厛澶╂х殑锛屽嵆鍥犲厛澶╁彂鑲茬殑鏌愪簺寮傚父瀵艰嚧浜嗚倽鍥婅偪褰㈡垚銆傚悗澶╂х殑鍥犵礌灏戞湁锛屽鍦ㄧ墽鍖猴紝濡備汉浠煋涓婁簡鍖呭泭铏梾锛屽湪鑲濊剰涓究浼氫骇鐢熷瘎鐢熻櫕鎬у泭鑲裤傚浼ゃ佺値鐥囷紝鐢氳嚦鑲跨槫涔熷彲浠ュ紩璧疯倽鍥婅偪銆傚泭鑲垮彲浠ユ槸鍗曞彂鐨勶紝灏卞彧涓涓紝灏忚嚦0.2鍘樼背锛涗篃鍙互澶氬埌...
