原发性肝癌的分期_根治切除标准和预后指标.pdf

2003 1 9 1 　Chin J Hepato iliary Surg, Jan 2003, Vol.9, No.1 ·3 · ·· 、 王悦华　刘永雄 【】　、 。, TNM , , 1999 TNM 。 , , ;、 。, 、、 、, 。, ;、。 【】　;　, ;　;　;　 Tumor staging scheme, radical resection criterion and prognostic index of primary liver cancer WA N G Y uehua, LI U Yongx iong .Departm en t of Hepatobiliary S urgery , PL A General Hosp ital, B ei ing 100853, P .R .China 【Abstract】　Progress of tumor staging scheme, radical resection criterion and prognostic index of pri- mary liver cancer and their relationships were review ed.There is still not a consolidated and practica le tu- mor staging scheme.TNM staging ecomes popular and accepta le after several times revisions.The Chi- nese staging scheme revised in 1999 approximately corresponds to TNM staging.Neither there is a univer- sal radical resection criterion of liver cancer.Generally it is classified into 2 groups, curative and palliative resection.Based on histopathology, it could e classified into 3 groups, pathologically and clinically curative resection and palliative resection.Multivariate analysis show s that tumor stages, pathologic types, treat- ment modalities, tumor iologic characteristics and complications are related to prognosis.Resection pat- terns and pathologic characteristics are the determining factors related to the postoperative recurrence and metastasis rates.Tumor staging scheme is the asis to select treatment modalities and prognostic analysis could verify their rationality, whose improvement depends on the development of molecular iotechnology. 【Key words】　Liver neoplasms;　Primary liver cancer, staging;　Radical resection;　Prognosis;　 Criterion 　　, ; 。 ,( 、 ),, 。, , , 。 , , 〔1〕 〔2〕