What is the role of liver puncture in patients with advanced liver cancer

Liver biopsy is an operation technique that uses a liver biopsy needle or a biopsy gun to puncture the liver tumor under local anesthesia to extract a small amount of liver tumor tissue for pathological examination. Check whether there are cancer cells in the liver tumor, and what kind of cancer cells it is. That is to say, liver puncture is an auxiliary method for the diagnosis of liver cancer, and the accuracy rate is high. It provides a basis for the next step of accurate medication and formulation of treatment plans. Liver biopsy can be divided into blind biopsy without imaging equipment and biopsy guided by imaging equipment. The former has more complications due to the lack of imaging equipment guidance, while the latter has imaging equipment guidance to avoid the risk of puncturing large blood vessels and bold ducts, so it is safer and more reliable. At present, liver biopsy guided by B-ultrasound is the most commonly used. Its indications are various types of hepatitis, various liver diseases, liver tumors and unexplained hepatomegaly. Contraindications are patients with significant bleeding tendency, severe heart, lung, brain, kidney disease and systemic failure.

In the United States, the diagnosis of liver cancer must be confirmed by liver biopsy, otherwise the hospital will not treat it as liver cancer. In the past, due to technical reasons, the spread of cancer cells after liver puncture occurred in China. Therefore, in the past, liver puncture was generally not required in China. Diagnosed with liver cancer. With the improvement of medical technology, some large hospitals in China have begun to require liver puncture to diagnose liver cancer, which is why so many patients' families have consulted recently.

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