Among all liver cancer patients, more than 50% of liver cancer patients are already at an advanced stage as soon as they are discovered, and only about one-fifth of the patients have the chance of surgical resection, losing the chance of a complete cure. Therefore, how to effectively extend the survival period has become the pursuit of many patients with advanced liver cancer and their families.
Today I will share with you a case of advanced liver cancer with intrahepatic metastasis, and the tumor was effectively controlled through multidisciplinary treatment.
Patient Ms. Wu was admitted to the hospital due to persistent severe abdominal pain and was diagnosed with advanced tumor
Patient Ms. Wu, 36 years old, suffered from abdominal pain for three days and was accompanied by right shoulder and back a year ago Radiation pain, and the pain was severe, and then went to the local hospital for treatment with his family. The CT examination showed that the density of the liver was uneven; after bedside ultrasound puncture, the blood was not coagulated. Considering that the hepatocellular carcinoma may rupture and hemorrhage . Due to the urgent situation, symptomatic blood transfusion was actively given and TACE was performed urgently. The color Doppler ultrasound examination on the 1st day after surgery showed that the abdominal effusion was increased. considered the possibility of hepatocellular carcinoma rupture and continued bleeding, and was transferred to the provincial hospital.
After being transferred to the provincial hospital, Ms. Wu was in poor overall condition, showing listlessness, mild drowsiness , pale eyelids, lips and nail bed, mild yellow staining of the skin and sclera, and slightly bulging abdomen. CT examination of the abdomen (figure a): the right anterior lobe and the left inner lobe of the liver are huge cystic space, the possibility of malignant tumors is high; the branches of the middle hepatic vein and the left portal vein may be locally invaded; the subcapsular patch of the right liver lobe No enhancement zone; blood under the liver capsule and in the abdominal cavity.
Since Ms. Wu's diagnosis is primary hepatocellular carcinoma with multiple intrahepatic metastasis, liver cancer BCLC staging is D stage,Surgical treatment cannot be used, and only palliative treatment can be performed. Therefore, after combining the suggestions of many experts, it was decided to use TACE combined with targeted drug treatment for Ms. Wu.
After the first TACE, the lesion was more stable than before, but complications such as cancer pain occurred
After 12 days, Ms. Wu's body indicators became stable and she could tolerate interventional therapy, so she started to treat it TACE surgery. But on the first day after the operation, Ms. Wu had pain in her right upper abdomen and felt intense pain. After taking analgesic measures, it still cannot be effectively relieved, and complications such as nausea and drowsiness occur.
Considering the patient's current situation, after discussion, the experts decided to introduce Chinese medicine adjuvant therapy. Chinese medicine believes that Ms. Wu’s current condition is mainly caused by postoperative qi disorder and obstruction of meridians. Therefore, through the combination of traditional Chinese medicine and western medicine, the pain of Ms. Wu has been significantly improved, and the symptoms of nausea and drowsiness are also obvious. He was relieved and was discharged 9 days later. continued to take targeted drug after being discharged from the hospital.
Reexamination of the upper abdomen 1 month after surgery, it can be seen that after interventional hepatocellular carcinoma, the volume of the cystic part of the tumor is reduced compared with that before the operation, and the blood is absorbed in the abdominal cavity; there is iodized oil deposition in the liver lesions, and The lesion is more stable than before.
The second TACE treatment, combined with Chinese medicine adjuvant therapy, reduced postoperative complications
Since TACE interventional therapy has achieved good results, but there are still enhanced lesions in the liver, TACE needs to be continued. The experts also communicated with Ms. Wu and her family. However, due to postoperative complications, Ms. Wu resisted the second interventional treatment , , therefore, the experts decided to pass the TCM strengthening training before the second operation. This therapy regulates, improves its resistance, and reduces the chance of postoperative complications.
performed 2 interventions after 15 days of reexamination,After the operation, Ms. Wu had no pain, but was accompanied by slight nausea and vomiting. She improved after symptomatic treatment and was discharged 4 days after the operation. A CT examination of the upper abdomen was performed one month after the operation. The results of the CT examination showed that: has more iodized oil deposits in the tumor, and the tumor is significantly smaller than before.
The third TACE + Chinese medicine adjuvant treatment, the tumor was effectively controlled
The second treatment effect also brought confidence to Ms. Wu and her family. They were evaluated one month after surgery. It was decided to take the third TACE treatment. Due to the continuous conditioning of traditional Chinese medicine before the operation, the patient did not have obvious discomfort after the operation. During the hospitalization, follow-up liver function, blood routine and coagulation function were all the same. , Was discharged from the hospital four days later.
One month after the operation, Ms. Wu came for a review. The results of CT examination showed that the tumor was effectively controlled and there was no progress.
After being discharged from the hospital, Ms. Wu is still given regular use of TCM strengthening exercises. After that, Ms. Wu will come to review regularly every 4 to 6 weeks. Today, the patient is generally in good condition without discomfort and is taking care of herself.
We know that modern medicine treats tumors mainly through surgery, radiotherapy and chemotherapy to kill and remove tumor cells. However, the traditional Western medicine treatment mode aimed at killing and removing cancer tissues, but because most patients with advanced liver cancer are weak and have many complications, they are accompanied by damage to internal organs. At this time, surgery, radiotherapy and chemotherapy will often bring harm to healthy tissues. Therefore, for such patients, the purpose of treatment is not only to eliminate tumors, but to adopt a multidisciplinary joint diagnosis and treatment method, focusing on reducing symptoms, improving the quality of life to the greatest extent, and prolonging survival time.
And Chinese medicine has now become a means that cannot be ignored in the comprehensive treatment of liver cancer. can effectively improve the patient's immunity, regulate homeostasis, and inhibit tumor growth, thereby reducing the painful symptoms and psychological pressure of patients and their families, and strive to improve the quality of life of patients, so as to improve the prognosis and prolong survival.
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