К вопросу о трансплантации печени у больных гепатоцеллюлярной карциномой (краткий обзор литературы)

К вопросу о трансплантации печени у больных гепатоцеллюлярной карциномой (краткий обзор литературы)

Автор: Новрузбеков Мурад Сафтарович, Олисов Олег Даниелович

Журнал: Злокачественные опухоли @malignanttumors

Статья в выпуске: 4S1 (21), 2016 года.

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Гепатоцеллюлярная карцинома (ГЦК) - одна из наиболее распространенных опухолей, занимающая лидирующие позиции в структуре летальности от онкологического заболевания. Первичный рак печени устойчиво ассоциируется с наличием хронического диффузного заболевания печени - вирусного гепатита и цирроза. Ортотопическая трансплантация печени -альтернативный и, возможно - оптимальный метод лечения ГЦК, так как в результате операции полностью удаляется пораженный орган и предраковое заболевание. Отдаленные результаты ОТП зависят от стадии опухолевого поражения, инвазии опухоли в сосуды печени. Золотым стандартом в определении показаний к ОТП при ГЦК принято считать «Миланские критерии» и «Барселонскую» классификацию, обеспечивающие прекрасные отдаленные результаты. Вместе с тем, многими авторами данные критерии признаются излишне строгими, необоснованно лишающими значительную часть больных перспективы трансплантации печени.

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Гепатоцеллюлярная карцинома, трансплантация печени, "миланские" критерии, расширенные критерии

Короткий адрес: https://sciup.org/140223006

IDR: 140223006   |   DOI: 10.18027/2224-5057-2016-4s1-36-39

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