Interventional treatment of hepatocellular carcinoma mainly adopts transarterial chemotherapeutic drug infusion and arterial embolization. There are many factors affecting the prognosis of interventional treatment of hepatocellular carcinoma, mainly the following aspects.
1.Tumor type.
①, tumor cell type and blood supply, rich vascular and multivessel tumors have better prognosis than less vascular tumors, hepatocellular carcinoma is mostly the former, while cholangiocarcinoma is mostly the latter, so hepatocellular carcinoma has relatively better prognosis;
②, tumor boundary and envelope, those with clear boundary and envelope are better;
③, tumor size, the smaller the better, tumors below 5cm have better prognosis than those above 5cm;
④.The scope of tumor is better if it is limited;
⑤. Those with obvious arterial-venous fistula are worse, and the larger the scope, the worse.
2.Clinical stage.
Those with lymph node metastasis and distant metastasis have poorer prognosis. Those who take active treatment for metastatic lesions (including interventional treatment, radiotherapy, surgery, etc.) have better prognosis than those who give up treatment.
3.Treatment methods.
①, interventional treatment, TAE is better than TAI, and the combined application of multiple methods is better;
②, iodized oil filling or terminal embolization, the more complete the prognosis, the better;
③, the treatment interval is better for those who extend it appropriately;
(④) The prognosis is better for those who adopt appropriate comprehensive treatment.
4, the patient’s own condition.
①, liver basis, the lighter the cirrhosis, the better the liver function is normal;
②, age, older patients are better than younger ones, and patients around 60 years old often have better results;
③, concomitant lesions, those with severe concomitant lesions have poor prognosis;
④, psychological factors, the prognosis is better for those who are cheerful and strong-willed, and better for those who combine work and rest;
⑤. The prognosis is relatively good for those with better general condition.
5.Portal vein cancer embolism.
The prognosis is better for those who are treated than those who are not treated, and the prognosis is significantly better for those who are treated with proper embolization than those who are not embolized.