代問:肝癌病人問腫瘤科大夫, 請建議

sorafenib 失效, 肺轉伴有症狀,精神不佳. 目前還能travel, 尋求更新療法, 包闊藥試 - HK, 台灣, US.  謝謝關愛. 

 

詳情

Pathology report (by pathologist from Fudan University affiliated Sun Yat-sen Hospital) 複旦大學附屬中山醫院病理報告

female, primary HCC diagnosed Nov 2011

女, 65 歲, 55 KG (58 KG presurgery).  原發性肝細胞肝癌

1) greyish white liver mass, 7.5x6 cm, adjacent to capsular, with 10+ satelite lesions, ranging 0.2 - 0.8 cm in diameter.  

肝腫塊 7.5x6 cm, 緊貼肝被膜,子灶10餘個,大小不等, 周圍肝土黃色, 細膩

2) also seen greyish white mass 5x5x4 cm with membrane, section face grey to brown in color, partially hemorragic.  Alongside gastric tissue measuring 4x2x1 cm

另見灰白帶包膜腫物一個, 5x5x4 cm, 切麵灰褐, 部分出血, 旁附少許胃組織, 大小 4x2x1 cm

 

Diagnosis: right-side hepatocellular carcinoma, grade II - III with 2ndary lesions, sorrounding hepatic tissue G1S0; spleen and stomach interstitial stromal tumor, 

診斷: 右邊原發性肝細胞肝癌 II 到 III 級, 伴子灶, 周圍肝G1S0; 胃/脾間質瘤, 細胞豐富, 輕度異型, 核分裂相難見. 

 

Treatment history

治療史

Nov 18, 2011 - surgery.  Section VI, VII, VIII and partial diaphram resected, stomach partly removed due to GIST 肝六,七,八區切除,部分縱隔,部分胃切除

Nov 18, 2011 - TACE: EADM (表阿黴素) and Lipiodol (碘油)

Feb 7, 2012 - TACE.  Mets to both lungs 雙肺多點轉移.  Starting sorafenib, 800mg + 800mg per day

Jun 15, 2012 - TACE.  Stopped sorafenib

Aur 9, 2012 - TACE + BAI

Aug 16, 2012 - resuming sorafenib 800 mg + 400 mg per day

 

Laboratory

AFP 60500

CEA 2.17

CA19-9 9.4

AST 66

AP 84

GGT 174

Bile acid 52.0

bilirubin - slightly elevated, 22.4 total/ 7.4 conjugated

kidney function - normal, creatinine 45, urea 1.6 (low), uric acid 159, eGFR 121

 

所有跟帖： 

• 回複：代問:肝癌病人問腫瘤科大夫, 請建議 -周遊列國逍遙人生- ♂ (31 bytes) () 03/26/2013 postreply 18:37:37

• 回複：回複：代問:肝癌病人問腫瘤科大夫, 請建議 -jaydad- ♂ (411 bytes) () 03/26/2013 postreply 19:53:31

• 建議 -周遊列國逍遙人生- ♂ (13146 bytes) () 03/27/2013 postreply 07:30:03

• 和這裏將的一回事嗎? -ONCOCIDIA- ♂ (156 bytes) () 03/27/2013 postreply 15:21:18

• 中文不是太清楚，好像是sorafenib -周遊列國逍遙人生- ♂ (27 bytes) () 03/27/2013 postreply 15:26:05

• 賽諾菲公司 Sanofi corporation -jaydad- ♂ (626 bytes) () 03/28/2013 postreply 08:48:24