"Pathology" and "Internal Medicine": single <3cm, or the sum of two <3cm

"Surgery" Micro liver cancer ≤3cm, small liver cancer ≤5cm

"Internal Medicine"

"Pathology" "Surgery"

The earliest and most common: intrahepatic hematogenous metastasis to the liver (invasion of the portal vein to form a tumor thrombus)

The earliest and most common lymphatic metastasis: portal lymph nodes

The most common site of extrahepatic blood vessel metastasis: lungs

Implantation transfer

Persistent irregular low-grade fever

upper gastrointestinal bleeding

Ascites: mostly stubborn and bloody

jaundice

hepatic encephalopathy

HCC>90% are supplied by the hepatic artery

Main manifestations: spontaneous hypoglycemia, erythrocytosis

Rare manifestations: hypercalcemia, hyperlipidemia, carcinoid syndrome

Sudden right upper abdominal pain

mild peritoneal irritation

Blood volume ↓ (sweating, shock)

screening

Diagnosis (positive rate >70%)

Judgment of efficacy and prediction of recurrence

Screening: B-ultrasound

Important diagnosis: enhanced CT, enhanced MRI (fast in and fast out)

Optimal imaging examination for diagnosis: selective hepatic arteriography, transarterial chemoembolization tace diagnostic treatment For tiny liver cancers that are difficult to diagnose with enhanced CT and MRI

PET-CT

No extrahepatic metastasis

Most suitable for single micro liver cancer and small liver cancer ≤5cm

If it is a single large liver cancer or a giant liver cancer, it should be required to grow outside the liver (destroy <30% of liver tissue) and have a complete tumor capsule (clear surrounding boundaries).

If it is multiple tumors, the number of tumor nodules should be less than 3 and limited to one segment or lobe of the liver.

If the liver function is Child C (jaundice and ascites), no surgery will be performed until the liver function improves.

The amount of bleeding is not large and the general condition is good: TACE or liver resection

Large amount of bleeding, huge or extensive tumor, uncontrollable during surgery: gauze packing

HCC

pregnancy

Gonad embryonal tumors: yolk sac tumor/endodermal sinus tumor

Hepatitis, cirrhosis

Parallel Curves: Active Hepatitis

Curve Separation: Liver Cancer