▲ A patient with advanced liver cancer in his 60s was judged to live for 3 months, miraculously recovered and has witnessed the growth of the next generation
Liver cancer is the No. 3 cancer killer in Hong Kong, with 1,530 deaths due to liver cancer in 2020, second only to lung cancer and colorectal cancer. Dr. Jiang Ziliang from the Department of Clinical Oncology said in an interview that only 30% of patients with liver cancer can undergo surgery successfully. And keep your weight at a stable level to prevent liver cancer.
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different stages of treatment
Dr. Jiang Ziliang shared with TOPick that only 30% of patients with liver cancer can undergo successful surgery. The reason is that early liver cancer is difficult to detect, and generally speaking, the tumors are small, and patients do not have symptoms. However, once symptoms appear, such as right upper quadrant pain, poor liver function, ascites, or even jaundice, the general condition of the patient and the size of the tumor are not suitable for surgery.
The current treatment methods for mid-term patients include “big spleen acupuncture”, stereotactic radiotherapy, drug therapy, immunotherapy, and targeted therapy. As for advanced patients, if the liver function is too poor, “combined treatment” will not be used for the time being. At this stage, immunotherapy can only be used to help patients alleviate their symptoms.
Combination therapy works well
Dr. Jiang shared that he once encountered a clinical case. Mr. X, who was in his 60s, was a patient with advanced liver cancer when he sought medical treatment. When the doctor checked him, he found that his liver function had begun to deteriorate, he had pain in the upper right abdomen, and his tumor reached 16cm and invaded the hepatic portal vein. The situation was not optimistic. However, even though Mr. X is terminally ill and his complexion has turned yellow, he still wants to “try his best”, and his family also expressed their support. At that time, neither family members nor doctors dared to have too much expectation for the course of treatment. But in the end, Dr. Jiang also performed “combined treatment”, that is, immunotherapy and stereotactic radiotherapy.
After half a year of “combined treatment”, Mr. X’s right upper abdomen pain gradually disappeared. Later, when Dr. Jiang checked him once more, he found that Mr. X’s liver function index had risen, and the cancer cell index also showed signs of decline. The index dropped from thousands at the beginning of the consultation to only a few hundred. People are very encouraging.
After 3 years, Mr. X also has regular follow-up visits. Fortunately, there is no sign of recurrence and his condition has remained stable. During each follow-up consultation, Mr. X will tell the doctor regarding his current situation or life photos in detail. Mr. X, who is enjoying “Second Life”, was estimated by the doctor to have only 3 months to live, but now he can accompany the next generation to get married and grow up with his grandson. Dr. Jiang pointed out that seeing such a moving and warm picture was also moving, and he was deeply inspired.
Dr. Jiang noticed that in the past, immunotherapy and stereotactic radiotherapy were not used on patients of the same type as Mr. X, so he believed that Mr. X’s encouraging results might be used for research. In the future, he will also work with other doctors to Publish a new medical research report for this experience to help more liver cancer patients.
prevention advice
Dr. Jiang pointed out that hepatitis B, hepatitis C, fatty liver patients and alcoholism are high-risk factors that lead to liver cirrhosis and liver cancer. approach to liver cancer. He continued that if a patient has hepatitis B or C, blood should be drawn regularly for screening. Others should also undergo regular physical examinations to detect problems early in order to obtain the best protection.
▲ Dr. Jiang Ziliang, Department of Clinical Oncology.
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Editor: Chen Xintong
