肝细胞癌的巴西景观
Leonardo G Fonseca1, Andre T C Chen2, Irai S de Oliveira3
1Medical Oncology, Instituto do Câncer do Estado de São Paulo, Hospital das Clínicas, University of São Paulo, School of Medicine, São Paulo, Brazil.
JCO global oncology
|June 22, 2023
概括
肝细胞癌 (HCC) 的发病率正在上升,需要区域战略. 由于医疗保健的差异,巴西在HCC管理方面面临着挑战,需要分散的治疗和健康教育.
科学领域:
- 肝病学和瘤学 肝病学和瘤学
- 公共卫生和流行病学
背景情况:
- 预计肝细胞癌 (HCC) 的发病率将在全球范围内上升.
- 在HCC流行病学和风险因素 (病毒性肝炎,代谢性疾病) 的地理变化使早期检测和管理复杂化.
- 巴西表现出严重的社会经济差异,影响了医疗保健和HCC患者护理的获得.
研究的目的:
- 为了应对巴西日益增长的高糖瘤负担.
- 突出区域不平等导致的HCC管理中的挑战.
- 提出改善巴西多个不同地区HCC护理的策略.
主要方法:
- 审查巴西目前的HCC流行病学和风险因素.
- 对医疗保健获取和资源差异的分析.
- 评估HCC治疗方式的最新进展.
- 评估学术中心与区域差异的作用.
主要成果:
- 病毒性肝炎仍然是主要的HCC风险因素,脂肪肝疾病的认识越来越多.
- 由于风险因素监测和查的未满足需求,患者经常在晚期被诊断出HCC.
- 先进的HCC治疗集中在大量的学术中心,巴西大部分地区无法进入.
- 财富和资源的显著差异阻碍了已建立的HCC治疗的广泛应用.
结论:
- 有效的HCC管理需要多学科的方法和协调的护理.
- 通过当地推中心分散获得HCC治疗的机会至关重要.
- 促进健康教育和支持区域中心可以改善服务不足地区的HCC结果.
更多相关视频
09:49Dual-phase Cone-beam Computed Tomography to See, Reach, and Treat Hepatocellular Carcinoma during Drug-eluting Beads Transarterial Chemo-embolization
Published on: December 2, 2013
10.4K
04:41Application of the En Bloc Concept Combined with Anatomic Resection in Laparoscopic Hepatectomy
Published on: March 10, 2023
1.2K
相关概念视频
Hepatic Portal System
1.5K
The hepatic portal system, a critical part of our circulatory framework, transports nutrient-laden, deoxygenated blood from the gastrointestinal tract and spleen to the liver. This ingenious system plays an indispensable role in maintaining our body's metabolic equilibrium.
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is...
1.5K
Liver Histology
932
The microscopic anatomy of the liver is a complex and intricate system that comprises numerous structural units known as liver lobules, each of which is comparable in size to a sesame seed. These hexagonal structures consist of plates of liver cells or hepatocytes, which are characterized by their versatility and abundance of cellular apparatus like rough and smooth ER, Golgi apparatus, peroxisomes, and mitochondria.
Hepatocytes perform a variety of essential functions. They secrete...
Hepatocytes perform a variety of essential functions. They secrete...
932
Gross Anatomy of the Liver
568
The liver, the largest gland within the human body, is a firm and reddish-brown organ. This wedge-shaped structure weighs approximately 1.5 kg and occupies a significant portion of the right hypochondriac and epigastric regions. It extends more to the right of the body's midline than to the left.
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
Located under the diaphragm, the liver is almost entirely ensconced within the rib cage, providing it with substantial protection. Except for the superior most bare area, the liver's surface is...
568
Diseases of the Liver and Gallbladder
674
Liver and gallbladder diseases are a significant health concern, with prominent conditions including cirrhosis, hepatitis, non-alcoholic fatty liver disease (NAFLD), and gallstones. Jaundice is a common manifestation of liver and biliary disease.
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
Cirrhosis is characterized by the scarring of hepatic lobules in the liver, which are replaced by fibrous tissue, affecting the liver's normal functioning. NAFLD, on the other hand, is caused by an excessive build-up of fat in the liver, not...
674
