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¯fµo©ó¨Åé¨ä¥L³¡¦ì¦ÓÂX´²¦Ü¨xŦªºÀù¯f³QºÙ¬°¡uÂಾ©Ê¨xÀù¡v(metastatic liver cancer¡B¥çºÙliver metastasis)¡A¤SºÙ¡uÄ~µo©Ê¨xÀù¡v(secondary liver cancer)¡A¦Ó¯fµo©ó¨xŦªºÀù¯f«h³QºÙ¬°¡uìµo©Ê¨xÀù¡v(primary liver cancer)¡AÂಾ©Ê¨xÀù¤ñìµo©Ê¨xÀù±`¨£±o¦h¡C
¦³¨ÇÀù¯f¤ñ¨ä¥LÀù¯f§ó¦hÂX´²¦Ü¨xŦ¡A¥]¬A¡G¤j¸zÀù¡BªÍÀù¡B¨ÅÀù¡B¯Ø¸¢Àù¡BGÀù¡B¹¹DÀù¡B¶Â¦â¯À½F(melanoma)¡B¯«¸g¤º¤Àªc¸~½F(neuroendocrine tumour)µ¥¡CÀù²ÓM¥iÂX´²¦Ü¨xŦªº¥ô¦ó³¡¦ì¡A¦³¨Ç¯f¤H¥u±o¤@ÓÂಾÀù¡B¦ý¦³¨Ç¯f¤H«o¦b¨xŦªº¥ª¡B¥k¨â¸³£±w¤WÂಾÀù¡C
ªì´ÁªºÂಾ©Ê¨xÀù¥i¯à¨S¦³¼xª¬¡A¥Ñ©ó¨xŦªºÅé¿n¤j¡A´Nºâ±w¦³Àù¯f¤]¯à¥¿±`¹B§@¡A¼xª¬¨ú¨M©óÂಾÀùªº¼Æ¥Ø©M¦b¨xŦ©Ò³Bªº¦ì¸m¡A¨ä¥L°·±d°ÝÃD¤]·|¾ÉP»PÂಾ©Ê¨xÀù¬Û¦Pªº¼xª¬¡AY¥X²{¥H¤U¼xª¬¡A¤×¨ä·U¨Ó·UÄY«ªº¡AÀ³ºÉ§Ö¨D¶E¡G¹±ý¤£®¶¡Bäú¤ß¡B¯h¡BÅ髤U°¡Bµo¿N¡B¥Ö½§©M²´¥Õ²{¶À¦â(‹ö¯n¡Bjaundice)¡B¥Ö½§²ªÄo¡B¥k¤W¸¡¤£¾A©Î¯kµh¡B¸¡µÄ¤º¦³²GÅé¿n»E¾ÉP¸¡µÈ(¸¡¤ô¡Bascites)¡B¸}½ï¸~µÈµ¥¡C
Âå¥Í¬°±wªÌ¶EÂ_®É·|¬d¸ß¸Ô²Óªº¯f¾ú¡B°µ¥J²ÓªºÁ{þHÀˬd¤Î§@¤@¨ÇÀËÅç¡A¥]¬A¡G
¤@¡BÅç¦å¡G³q±`¥]¬A¨x¥\¯à´úÅç(Liver function tests)¡B¥þ¦å²ÓMp¼Æ(complete blood count¡B²ºÙCBC)¡B¦å¿}¤ô¥¡B¾®¦å¸ÕÅç(blood clotting tests)¡B¸~½F¼Ð»xª«(Cancer Marker)¡GY¥H«e´¿±w¬YºØÀù¯f¡A¨Ò¦p¤j¸zÀù¡AÂå¥Í·|ÀË´úÀùF§Üì(carcinoembryonic antigen¡B²ºÙCEA)¡A¤£Â_¤É°ªªº«ü¼ÆÅã¥Ü¤j¸zÀù´_µo¡B¨Ã¥i¯àÂಾ¦Ü¨xŦ¡C
¤G¡B¼v¹³Àˬd(Imaging tests)¡A¥]¬A¡G¶WÁnªi(ultrasound)¡B¹q¸£¯À´y(CT scan)¡BºÏ¤O¦@®¶±½´y(MRI)¡B¥¿¤lÂ_¼h·Ó¼v(Positron emission tomography¡B²ºÙPET)¡C
¤T¡B¬¡²Õ´Àˬd(Biopsy)¡G¥]¬Aªä°w¬¡²Õ´Àˬd(core needle biopsy)¡B¸¡µÄÃ謡²Õ´Àˬd(laparoscopic biopsy)¡C
½T¶E±w¤WÂಾ©Ê¨xÀù«á¡AÂåÀø¹Î¶¤·|¬°±wªÌ³]¥ß¤@Ó±M¬°¥LªºªvÀø¤è®×¡A³o¬O°ò©ó¥LÓ¤Hªº±¡ªp©M»Ýn¦Ó©w¡A³q±`¥]¬A¦hÓ¤£¦PªºªvÀø¤èªk¡A¥Ø¼Ð¬O±±¨î©M´îºCÂಾÀùªº¥Íªø¡A¦ý°£«D¤â³N¯à±NÂಾÀù¹ý©³²M°£¡A¤j³¡¤ÀÂಾÀù¬O¤£¯à§¹¥þ®ø·Àªº¡C
ªvÀø¤]¥iªv²z©M¹w¨¾ÂಾÀù©Ò±a¨Óªº¨ä¥L°ÝÃD¡A³o¨ÇªvÀøºÙ¬°¡u¤ä«ùÀøªk¡v(supportive therapies)¡C¦b¨M©w¨Ï¥ÎþºØªvÀø©M¤ä«ùÀøªk®É¡AÂåÀø¹Î¶¤·|¦Ò¼{¦hÓ¦]¯À¡A¥]¬A¡GÀù¯gµo¯fªº¾¹©x©Î²Õ´¡BÂಾÀù¦b¨xŦªº¦ì¸m¡BÂಾÀùªº¼Æ¥Ø¡BÂಾÀùªº¤j¤p¡B¦b¨Åé¨ä¥L³¡¦ì¬O§_¦³ÂಾÀù¡B´¿±µ¨üªºªvÀø¤èªk¡B²{¦³ªº¨xŦ¥\¯à¡B±wªÌªº¿ï¾Üµ¥¡C
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1.¤ÆÀø(Chemotherapy)¡G¤ÆÀø¬OªvÀøÂಾ©Ê¨xÀù³Ì±`¥Îªº¤èªk¡A¥Î¨Ó°±¤î©Î´îºCÀù²ÓMªº¥Íªø©MÓV½w¼xª¬¡A¤ÆÀø¤]¥i±NÀù¯gÁY¤p¡B¥O±wªÌ¥i±µ¨ü¤â³NªvÀø¡A¤ÆÀø¤]¥i¦b¤â³N«á¨Ï¥Î¡B´î§C´_µoªº·ÀI¡A¦³®É¤ÆÀø·|»P¨ä¥LªvÀø¤èªk¦P¥Î¡C
2. ¼Ð¹vªvÀø(Targeted therapy)¡G¼Ð¹vªvÀøÃĪ«¯à°±¤î©Î´îºCÀù²ÓMªº¥Íªø©MÂX´²¡A¨Ï¥ÎªºÃĪ«¨ú¨M©óÀù¯gµo¯fªº¾¹©x©Î²Õ´¡A³q±`·|»P¤ÆÀø¦P¥Î¡C
3. §K¬ÌÀøªk(Immunotherapy)¡G§K¬ÌÀøªk¬O´£¤É±wªÌªº§K¬Ì¨t²Î¡A©ÎÀ°§U§K¬Ì¨t²Î§ðÀ»Àù²ÓM¡C
4. ¤â³NªvÀø¡G¤â³NªvÀø¾A¥Î©ó¶°¤¤¦b¨xŦ¬Y¤@¡B¨âÓ³¡¦ìªºÂಾÀù¡A¤â³N±N¦³ÂಾÀùªº³¡¤À¨xŦ¤Á°£¡C
5. ®ø·»Àøªk(Ablation therapy)¡G¨Ï¥Î¼ö¤O©Î¤Æ¾Çª«½è±NÀù²ÓM®ø·À¡A¨Ò¦p®gÀW¿N¨`³N(Radiofrequency ablation¡B²ºÙRFA)¨Ï¥Î¹q¬y²£¥Í¼ö¤O±NÀù²ÓM±þ¦º¡C
¤å¡R³¢µúÆ[Âå¥Í(Dr. Jason Kwok)
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