Tuesday, August 8, 2023, 6:00 a.m.
Hello, after we heard the news about the death of a famous person. Including continuing to suffer from this disease Someone asked me if I wanted to be told about the treatment of liver cancer. Yes, whether there is a treatment like that or not. How are they different? with other cancers The liver cancer is the cancer we found in Thailand. It is the number one including hepatocellular carcinoma and cholangiocarcinoma. Today, I would like to tell you about liver cancer.
The treatment of liver cancer is similar to Other cancer treatments include surgery and chemotherapy. or targeted drugs or immune-boosting drugs But there are 3 other types of treatment that have been added:
1. Hijacking with high frequency sound waves (Radiofrequency Ablation; RFA)
2. Liver transplantation (liver tranplantation)
3. Treatment by inserting a catheter into the artery TACE (Trans arterial chemo embolization) and then injecting a substance that has glue-like properties directly to fill the blood vessels that feed the tumor. where this cube may have Chemical drugs may or may not be accompanied
For each type of treatment, it is appropriate for patients with liver cancer differently, depending on the stage of the cancer and if the liver function is abnormal or not. Because some liver cancer patients will have the same liver disease. Before suffering from liver cancer, such as hepatitis B, C, or fatty liver disease until chronic hepatitis, etc., it may not be possible to provide treatment only according to the stage of liver cancer. But you have to look at the liver function as well whether it can be done or not.
For the treatment of liver cancer in each stage are as follows.
1. very early stage at no more than 2 cm, we can treat Surgery or RFA
2. The initial stage when the lump exceeds 2 cm, but can still be operated on. then surgery for no more than 3 cm and no more than 3 stones to see if it is possible to transplant the liver or not If implantation is possible, implantation is performed, but if not, RFA cauterization is recommended.
3.Medium stage with lumps larger than 3 cm or more than 3 lumps, TACE treatment is given by a doctor who specializes in a specific area called radiologist (Radiointerventionist)
4. The distance is very, but Liver function values are still working, for example, if the tumor has spread to the aorta or has spread to other organs outside the liver such as bone, lungs, treatment with targeted drugs or immunosuppressive drugs.
5. The last stage when liver function is not good. also provide treatment Rather, it is a symptomatic treatment. Also known as best supportive care. Up to this point, we will see that Treatment of liver cancer It’s a complicated treatment. depending on the stage of the cancer It also depends on the function of the liver that can still function normally. or not because The treatment, although effective, is a cure. But there are side effects as well. Therefore, deciding how to treat it, consulting with a doctor who specializes in treating liver cancer is important.
And the best thing is that you don’t get liver cancer. One of the reasons that Thai people suffer from hepatitis B virus infection is unconsciously, so they do not go into treatment. Which today the screening can be reimbursed for every right Including when stuck, can reimburse treatment expenses which if asked who is at risk That is, people born before the year 1992 (age 31 or older), because this is a group that does not yet have a hepatitis B vaccination policy at birth, causing some people to be infected from mother to child. since birth. Therefore, I would like to invite People over the age of 31 undergo a hepatitis B screening test. at a hospital near the house at least 1 time to find out if they are infected in order to enter the treatment and cause no need to suffer from liver cancer
in the future
Information from Dr. Passakorn Wanchaijiraboon
Royal College of Physicians of Thailand
2023-08-07 23:00:00
#Women #subject #liver #cancer #treatment
