肝移植治疗转移性肝癌临床价值及评价

Liver transplantation for metastatic liver cancer

肝移植是治疗部分不具备手术切除条件或者其他治疗方法无效的转移性肝癌病人的有效手段。由于不同来源的肝转移肿瘤行肝移植临床效果不同,临床上应严格把握手术适应证及治疗时机,以神经内分泌来源的肿瘤,尤其是类癌来源者肝移植效果最好,是目前转移性肝癌行肝移植手术的主要适应证,而结直肠癌肝转移行肝移植的价值还尚须进一步研究。目前,对于乳腺癌等其他肿瘤来源的转移性肝癌的报道较少。

Liver transplantation is an effective treatment for some patients with metastatic liver cancers which can＇ t be resected and are ineffective with other treatments. Since different tumor sources will lead to different clinical results after liver transplantation. The indication and optimal time for transplantation should be controlled strictly. Currently the source of neuroendoerine tumors, especially earcinoid, is the major indication for liver transplantation. The value of liver transplantation for liver metastases of eolorectal cancer requires further research. Reports of other sources like breast cancer are very less.