代问:肝癌病人问肿瘤科大夫, 请建议

sorafenib 失效, 肺转伴有症状,精神不佳. 目前还能travel, 寻求更新疗法, 包阔药试 - HK, 台湾, US.  谢谢关爱. 

 

详情

Pathology report (by pathologist from Fudan University affiliated Sun Yat-sen Hospital) 复旦大学附属中山医院病理报告

female, primary HCC diagnosed Nov 2011

女, 65 岁, 55 KG (58 KG presurgery).  原发性肝细胞肝癌

1) greyish white liver mass, 7.5x6 cm, adjacent to capsular, with 10+ satelite lesions, ranging 0.2 - 0.8 cm in diameter.  

肝肿块 7.5x6 cm, 紧贴肝被膜,子灶10余个,大小不等, 周围肝土黄色, 细腻

2) also seen greyish white mass 5x5x4 cm with membrane, section face grey to brown in color, partially hemorragic.  Alongside gastric tissue measuring 4x2x1 cm

另见灰白带包膜肿物一个, 5x5x4 cm, 切面灰褐, 部分出血, 旁附少许胃组织, 大小 4x2x1 cm

 

Diagnosis: right-side hepatocellular carcinoma, grade II - III with 2ndary lesions, sorrounding hepatic tissue G1S0; spleen and stomach interstitial stromal tumor, 

诊断: 右边原发性肝细胞肝癌 II 到 III 级, 伴子灶, 周围肝G1S0; 胃/脾间质瘤, 细胞丰富, 轻度异型, 核分裂相难见. 

 

Treatment history

治疗史

Nov 18, 2011 - surgery.  Section VI, VII, VIII and partial diaphram resected, stomach partly removed due to GIST 肝六,七,八区切除,部分纵隔,部分胃切除

Nov 18, 2011 - TACE: EADM (表阿霉素) and Lipiodol (碘油)

Feb 7, 2012 - TACE.  Mets to both lungs 双肺多点转移.  Starting sorafenib, 800mg + 800mg per day

Jun 15, 2012 - TACE.  Stopped sorafenib

Aur 9, 2012 - TACE + BAI

Aug 16, 2012 - resuming sorafenib 800 mg + 400 mg per day

 

Laboratory

AFP 60500

CEA 2.17

CA19-9 9.4

AST 66

AP 84

GGT 174

Bile acid 52.0

bilirubin - slightly elevated, 22.4 total/ 7.4 conjugated

kidney function - normal, creatinine 45, urea 1.6 (low), uric acid 159, eGFR 121

 

所有跟帖： 

• 回复：代问:肝癌病人问肿瘤科大夫, 请建议 -周游列国逍遥人生- ♂ (31 bytes) () 03/26/2013 postreply 18:37:37

• 回复：回复：代问:肝癌病人问肿瘤科大夫, 请建议 -jaydad- ♂ (411 bytes) () 03/26/2013 postreply 19:53:31

• 建议 -周游列国逍遥人生- ♂ (13146 bytes) () 03/27/2013 postreply 07:30:03

• 和这里将的一回事吗? -ONCOCIDIA- ♂ (156 bytes) () 03/27/2013 postreply 15:21:18

• 中文不是太清楚，好像是sorafenib -周游列国逍遥人生- ♂ (27 bytes) () 03/27/2013 postreply 15:26:05

• 赛诺菲公司 Sanofi corporation -jaydad- ♂ (626 bytes) () 03/28/2013 postreply 08:48:24