In:
Journal of Medicine and Pharmacy, Hue University of Medicine and Pharmacy
Abstract:
Objective: To examine the clinical characteristics, paraclinical signs of patients with liver cancer and evaluate the results of treatment of liver cancer by gamma knife. Material and Methods: 95 patients were diagnosed liver cancer that treated with Gamma Knife in Hue University Hospital from January 2011 to May 2012. Daily monitoring of patients in treatment process and after treatment for 1 month, 3 months, 6 months...The data on clinical monitoring, images are recorded. Results and discussion: (i) Most patients with a history of hepatitis B, C (66.3%), what has not been previously treated (78.9%). Common clinical symptoms are right lower ribs pain (62.1%), poor diet (47.4%), enlarged liver (41.1%), weight loss (36.8%), fatigue (30,5%). The majority of liver tumors located in the right liver (74.8%) and usually have two or more tumors (91.6%). Large tumor size mostly bigger than 6 cm (48.4%), 43.2% of patients with tumor size 3-6cm. Hepatic enzyme increased 15.9%, 22.1% Billirubin increase, accounting for 26.3% of AFP increase. (ii) Gamma treatment with focus of more than 20 at a rate 47.4%, primarily radiation time longer than 15 minutes (58.9%). Most patients reported no abnormalities in the proces of treatment (57.9%), only a few patients have a feeling of fullness, indigestion (26.3%), pain (28.4%), dizziness (3.2%). The main clinical symptoms improved after treatment. (iii) The paraclinical biochemics, after 1-6 months of treatment patients with paraclinical signs improved. Tumor size after 1-6 months of treatment accounted for 66.3% reduction, not reduced to 22.1%, increase in size accounted for only 11.6%. Conclusion: after Gamma Knife treatment from 1 to 6 months, most patients respond well and are quite good. After one month, this rate is 84.2%. After 3-6 months, this rate is 73.1%. Keywords: liver cancer, treatment, Gamma Knife
Key words: liver cancer, treatment, Gamma Knife
Type of Medium:
Online Resource
ISSN:
1859-3836
DOI:
10.34071/jmp.2012.4.8
Language:
Vietnamese
Publisher:
Hue University of Medicine and Pharmacy
Publication Date:
2012
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