К ВОПРОСУ О ТРАНСПЛАНТАЦИИ ПЕЧЕНИ У БОЛЬНЫХ ГЕПАТОЦЕЛЛЮЛЯРНОЙ КАРЦИНОМОЙ (КРАТКИЙ ОБЗОР ЛИТЕРАТУРЫ)
Abstract
Гепатоцеллюлярная карцинома (ГЦК) – одна из наиболее распространенных опухолей, занимающая лидирующие позиции в структуре летальности от онкологического заболевания. Первичный рак печени устойчиво ассоциируется с наличием хронического диффузного заболевания печени – вирусного гепатита и цирроза. Ортотопическая трансплантация печени – альтернативный и, возможно – оптимальный метод лечения ГЦК, так как в результате операции полностью удаляется пораженный орган и предраковое заболевание. Отдаленные результаты ОТП зависят от стадии опухолевого поражения, инвазии опухоли в сосуды печени. Золотым стандартом в определении показаний к ОТП при ГЦК принято считать «Миланские критерии» и «Барселонскую» классификацию, обеспечивающие прекрасные отдаленные результаты. Вместе с тем, многими авторами данные критерии признаются излишне строгими, необоснованно лишающими значительную часть больных перспективы трансплантации печени.
About the Authors
M. S. Novruzbekov
Научно-исследовательский институт скорой помощи имени Н. В. Склифосовского
Russian Federation
Russian Federation
O. D. Olisov
Научно-исследовательский институт скорой помощи имени Н. В. Склифосовского
Russian Federation
Russian Federation
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Review
For citations:
Novruzbekov M.S., Olisov O.D. . Malignant tumours. 2016;(4s1):36-39. (In Russ.)
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