Systematic _'s prevention and health care of score used for indicating hepatocarcinoma recurs after liver transplantation

Systematic _'s prevention and health care of score used for indicating hepatocarcinoma recurs after liver transplantation
Summary: A new score system can predict the situation of recuring of tumour of postoperative cell cancer patient's competent liver transplantation of liver. The researchers of Pittsburgh have put forward a new score system, in order to predict the situation of recuring of tumour of postoperative cell cancer patient's competent liver transplantation of liver.
Shunzaburo Iwatsuki doctor and his colleague of the medical center of Pittsburgh university pass the materials of the person who didn't get fiber one storey of liver cell cancer which analyze 344 customary liver transplantation skills, have proposed this system of grading.
Researchers claim in the American surgeon of issue learns the magazine in October of this year, through multivalues clause, the size that tumour is distribution, blood vessel existence and intensity, tumour soaked in the leaf of liver two is the independent prediction sign with bad prognosis.
Every independent the intersection of prediction and relevant dangerous summation of sign of patient researcher, calculate it dangerously and grade. Relevant dangerous degree of the second leaf tumour is 3.1. Relevant dangerous degree is 4.5 when the tumour size is for 2 to 5 centimetres, it is 6.7 while exceeding 5 centimetres. Dangerous degree is 4.4 and 15.0 respectively that the small blood vessel is soaked and correlated with what the trunk is soaked. Researchers point out, " high-level that these three kinds of dangerous factors are all shown as " The score of hour is 24.8.
Grading is divided into the following grade 4: 1 grade, 0 to 7.5 fen; 2 grades, 7.5 to 11 fen; 3 grades, 11 to 15 fen; 4 grades, 15 points of the above. In addition there is the 5th, including those have surgery absolutely avoiding or lymph node and carry the patient who shifted fars.
Researchers claim, " the dangerous system of grading of this prognosis can be well correlated with having the time of surviving of tumour after liver transplantation. " It is 100%, 61%, 40%, 5% and 0% respectively not to have survival rate of tumour in 1 to 5 grades of patients' 5.
Iwatsuke doctor and his colleague claim, " the score system which we put forward also needs passing the verification of a large number of patients of other research centers. The purpose of this clinical research can choose the patient that transplant correctly, can also judge the real result of chemotherapy used for preventing tumour and recuring. "
|