关键词: 门静脉癌栓, 肝癌

Abstract:

Difficulties and countermeasures of diagnosis and treatment for hepatocellular carcinoma with portal venous tumor thrombus        SUN Ju-xian，SHI Jie，CHENG Shu-qun. No. 6 Department of Hepatic Surgery, Eastern Hepatobiliary Surgical Hospital, the Second Military Medical University, Shanghai 200438，China
Corresponding author：CHENG Shu-qun，E-mail：chengshuqun
@aliyun.com
Abstract    Hepatocellular carcinoma (HCC) is prone to invade portal vein system known as portal vein tumor thrombus (PVTT). PVTT is one of the main reasons for poor prognosis of HCC because of its rapid progress and lack of effective treatments. Cheng’s classification provides a scientific basis for disease evaluation，treatment options and prognosis monitoring. But there are still many difficulties of diagnosis and treatment of PVTT at present：how to identify with portal venous thrombosis；how to reduce the postoperative recurrence rate；how to choose the initial treatment correctly；how to carry out the multidisciplinary treatment；and there is no national consensus to guide the diagnosis and treatment of PVTT. New effective therapeutic methods should be developed，and multidisciplinary treatment should be used to set personalized treatment in the future. More clinical randomized controlled study also should be carried out to standardize the diagnosis and treatment of PVTT.

Key words: portal venous tumor thrombus, hepatocellular carcinoma