Chapter 088. Hepatocellular Carcinoma (Part 9)
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Table 88-6 Some Novel Medical Treatments for Hepatocellular Carcinoma EGF receptor antibody Erlotinib, Gefitinib Kinase antagonists, Sorafenib Vitamin K IL-2 131 I – ethiodol (Lipiodol) 131 I – Ferritin 90 Yttrium microspheres 166 Holmium Three-dimensional conformal radiation Proton beam high-dose radiotherapy Anti-angiogenesis strategies, Bevacizumab Note: EGF, epidermal growth factor; IL, interleukin. Summary Most Common Modes of Patient Presentation 1. A patient with known history of hepatitis, jaundice, or cirrhosis, with an abnormality on ultrasound or CT scan, or rising AFP or DCP (PIVKA-2) 2. A patient with an abnormal liver function test as part of a routine examination 3. Radiologic workup for liver transplant for cirrhosis 4. fever. Symptoms of HCC including cachexia, abdominal pain, or History and Physical Examination 1. disorientation Clinical jaundice, asthenia, itching (scratches),...
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