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Clinical practice guidelines for hepatocellular carcinoma:the first evidence based guidelines from Japan 被引量:15

Clinical practice guidelines for hepatocellular carcinoma:the first evidence based guidelines from Japan
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摘要 Hepatocellular carcinoma (HCC) is one of the leading causes of cancer death in Japan, ranked 3^rd in males and 5^th in females. Thanks to recent progress, there are several definitive treatment modalities available for HCC, including surgery (liver resection and transplantation), ablation therapy, and transarterial chemoembolization (TACE). It is fortunate for both patients and doctors to have multiple treatment options, however, there have been very few evidence-based guidelines for decision-making. Sup- ported by the Japanese Ministry of Health, Labour and Welfare, we have compiled the "Clinical practice guidelines for hepatocellular carcinoma". This set of guidelines covers 6 fields for HCC, including prevention, diagnosis and surveillance, surgery, chemotherapy, TACE, and ablation therapy. We have surveyed 7192 publications on HCC extracted mainly from MEDLINE (1966-2002), and selected 334 articles to form 58 pairs of research questions and recommendations. For convenience in practical use, we have also created algorithms for the surveillance and treatment of HCC. TO THE EDITORHepatocellular carcinoma (HCC) is one of the leadingcauses of cancer death in Japan, ranked 3^(rd) in males and5^(th) in females. Thanks to recent progress, there are severaldefinitive treatment modalities available for HCC, includ-ing surgery (liver resection and transplantation), ablationtherapy, and transarterial chemoembolization (TACE). Itis fortunate for both patients and doctors to have multipletreatment options, however, there have been very
机构地区 Department of Surgery
出处 《World Journal of Gastroenterology》 SCIE CAS CSCD 2006年第5期828-829,共2页 世界胃肠病学杂志(英文版)
关键词 Hepatocellular carcinoma SURGERY 肝细胞癌 手术治疗 病理机制 临床表现
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参考文献4

  • 1[1]Ryder SD.Guidelines for the diagnosis and treatment of hepatocellular carcinoma (HCC) in adults.Gut 2003; 52 Suppl 3:iii1-iii 8
  • 2[2]Group formed to establish "Guidelines for evidence-based clinical practice for the treatment of liver cancer".Clinical practice guidelines for hepatocellular carcinoma.Kanehara &Co.,Ltd.,Tokyo 2005 (in Japanese)
  • 3[3]Liver Cancer Study Group of Japan.General rules for the clinical and pathological study of primary liver cancer.Second English edition.Kanehara & Co.,Ltd.,Tokyo 2003
  • 4[4]Mazzaferro V,Regalia E,Doci R,Andreola S,Pulvirenti A,Bozzetti F,Montalto F,Ammatuna M,Morabito A,Gennari L.Liver transplantation for the treatment of small hepatocellular carcinomas in patients with cirrhosis.N Engl J Med 1996; 334:693-699

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