What indicators are needed to diagnose liver cancer?
Jan 28, 2022
Liver cancer is a very terrifying malignant disease that makes patients live in fiery heat and endless torture. In order to treat liver cancer, we must understand and master some relevant knowledge to protect ourselves. Then, ? Diagnosis items of liver cancer---In addition, test liver function, hepatitis virus index, AFP, CEA, CA199. In particular, the value of AFP is positive in 75% of liver cancer patients and 25% is recessive. Once it rises, especially when it rises very high, there is no doubt to support this diagnosis. A negative AFP does not rule out liver cancer if the patient has a lump in the liver. CEA is a tumor marker of the digestive tract, especially colorectal cancer. Why is it mentioned here? Because digestive tract tumors are particularly prone to liver metastasis, if we find a tumor in the liver, we can follow the clues to find its primary focus. CA199 is a tumor marker of the biliary system, and cholangiocarcinoma in some liver cancers will also be elevated, so we also need to check it sometimes. In addition, it is an imaging examination, that is, color B-ultrasound, CT, and MRI. Some patients say that if the doctor gives me the best examination, just do MRI. Is MRI better than CT? Not necessarily. Some patients have a very sensitive CT response. If CT is detected, MRI is not necessary. For some patients, if the resolution is not too high on CT, the reflection is not very clear, we can make an MRI to confirm the diagnosis. Therefore, in the outpatient physical examination, it is usually CT plus a color Doppler or MRI plus a color Doppler. When a mass is seen in the liver, enhanced CT or enhanced MRI should be performed, which plays an important role in differentiating benign and malignant liver cancers, as well as primary liver cancer and secondary liver cancer, because the enhancement effect of primary liver cancer is obvious and the subsequent The enhancement effect of hepatocellular carcinoma was not obvious. If the above inspection methods cannot be diagnosed, especially in patients with high AFP levels, a liver mass biopsy, that is, a pathological examination, can be used to characterize the tumor cells, because chemotherapy drugs have different effects on different tumor cell types. different responses. Hepatic angiography is the first step in interventional therapy if the diagnosis cannot be made in some patients. First enter a catheter from the femoral artery to the hepatic artery, and then create a contrast agent, which can detect patients with liver cancer that cannot be detected by CT and MRI (commonly seen in the budding state of liver cancer, which cannot be detected with current instruments). There is often such a phenomenon in clinical practice. We did not find a mass, but the AFP was very high and there was a background of hepatitis. For these patients, after we gave interventional therapy, the AFP sometimes dropped to normal, which in turn proved that the tumor was in the budding state. Only when we understand the causes of liver cancer and the basic common sense of treatment can we properly regulate our body work and rest time and diet in our daily life. Only in this way can we better treat liver cancer. Restoring good health.
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