Hepatocellular carcinoma – diagnosis and treatment from the medical oncology perspective

Česká verze

Authors: J. Tomášek ¹; Š. Tuček ¹; T. Andrašina ²
Authors place of work: Klinika komplexní onkologické péče, MOU a LF MU, Brno2Radiologická klinika, LF MU a FN Brno ¹
Published in the journal: Gastroent Hepatol 2011; 65(3): 149-153
Category: Hepatologie: přehledná práce

Summary

Hepatocellular carcinoma (HCC) in the Czech Republic represents a small group of tumours. Unlike other countries, in the Czech Republic screening is of limited value. However, it has been recommended by the expert panel for groups at major risk – patients with hepatic cirrhosis and patients with hepatitis B and C. The choice of a method of treatment and its success depend on the extent of the malignant disease and the functional impairment of remaining liver parenchyma. The curative treatment includes surgical resection or radiofrequency ablation, and liver transplantation. The palliative methods proven as effective include trans-arterial chemoembolization (TACE), percutaneous ethanol injection (PEI), and the only systemic treatment, with sorafenib. The diagnostic and therapeutic workup uses a multidisciplinary approach and belongs to specialized centres. Thank to the multidisciplinary approach and the improvement in communication between various institutions, the optimal procedure has become achievable for more patients.

Key words:
liver cirrhosis – hepatocellular carcinoma – sorafenib – liver transplantation – transarterial chemo-embolisation

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