10.2 CA Liver

Question 1

Type of CA liver

Answer 1

Hepatocellular Carcinoma HCC
Cholangiocellular carcinoma

Question 2

Lab test indication
AFP
CEA

Answer 2

AFP CA Liver
CEA CA colon

Question 3

PET Scan

Answer 3

正子放射斷層

Question 4

Surgery for CA Liver:
RFA
TACE
PTBD

Answer 4

RGA 消融術
TACE 塞住血管
PTBD 經皮穿肝引流

Question 5

Successful rate of tumor removal depends on

Answer 5

Location, number, distribution of tumor
Amount of remaining liver tissue after surgery

Question 6

Aminoleban

Answer 6

To promote recovery
Nutritional support of branch chain amino acid

Question 7

Post op: Promote tissue oxygenation and ventilation

Answer 7

Incentive spirometry
Good oxygenation
Regular deep breathing exercised(sit out, refer physiology)

Question 8

Local ablation
Ablation by chemical e.g.__
Aims

Answer 8

消融術
Ethanol
To necrosis of tremor cell

Question 9

TACE
injecting ____
Aims

Answer 9

Chemotherapeutic agents into blood vessels that feed the tumor
To block the blood supply to the tumor
Cause death or suppress the tumor growth by ischemic necrosis

Question 10

PTBD
aims

Answer 10

Re-establish of biliary drainage
Relieve pain or pressure bring by bile obstruction

Question 11

Long term anti-rejection medication

Answer 11

抗排斥藥 (for organ transplantation)

Question 12

Major goals for cancer mangement

Answer 12

1. Complete removal of cancer
2. Stop recurrence / metastasis (TACE)
3. Relief symptoms (PTBD)