[의학]TACE 시술방법과 TACE전반

소개글

피피티로 발표수업했을때 쓴것입니다.
Hepatocellular carcinoma를 대상으로 tace 시술 방법을 피피티 사진으로 단계별로 나타내었고, TACE의 시술 전반에 대한 설명을 첨부하였습니다.

목차

Diagnosis of HCC
Treatment of Hepatic Tumors
Child-Turcotte-Pugh Grading
Alpha-fetoprotein (AFP)
Lipiodol
TransArterial ChemoEmbolization
TACE

본문내용

Alpha-fetoprotein (AFP)
A fetal serum glycoprotein.
Produced by the yolk sac and fetal liver.
Immediately after birth, AFP decrease to less than 10 ng/ml within 1 year.
Re-expressed by HCC as it dedifferentiates from a premalignant lesion in the cirrhotic liver though well- and mod-diff. HCC to poorly diff. HCC.

Advantage
Most widely used and reliable tumor marker of HCC for diagnosis and follow-up clinical course
About 60-70% positive in advanced HCC
Can be used risk factors of HCC development
Chief and simple test
Disadvantage
Less sensitive in well differentiated small HCC (20-30% sensitivity)
False positives in various conditions including viral / alcoholic hepatitis, liver cirrhosis

참고 자료

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