NCCN临床实践指南_肝胆肿瘤(2019.V3)英文版
145页1、Version 3 2019 08 01 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelines and this illustration may not be reproduced in any form without the express written permission of NCCN NCCN Clinical Practice Guidelines in Oncology NCCN Guidelines Hepatobiliary Cancers Version 3 2019 August 1 2019 Continue NCCN org NCCN Guidelines Version 3 2019 Hepatobiliary Cancers Version 3 2019 08 01 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelin
2、es and this illustration may not be reproduced in any form without the express written permission of NCCN NCCN Guidelines Index Table of Contents Discussion Al B Benson III MD Chair Robert H Lurie Comprehensive Cancer Center of Northwestern University Michael I D Angelica MD Vice Chair Memorial Sloan Kettering Cancer Center Daniel E Abbott MD University of Wisconsin Carbone Cancer Center Thomas A Abrams MD Dana Farber Brigham and Women s Cancer Center Steven R Alberts MD MPH Mayo Clinic Cancer C
3、enter Daniel A Anaya MD Moffitt Cancer Center Robert Anders MD PhD The Sidney Kimmel Comprehensive Cancer Center at Johns Hopkins Chandrakanth Are MD Fred 141 36 44 or if AFP increases by 7 ng mL month on at least 3 determinations Arrieta O Cacho B Morales Espinosa D et al The progressive elevation of alpha fetoprotein for the diagnosis of hepatocellular carcinoma in patients with liver cirrhosis BMC Cancer 2007 7 28 Positive AFP should prompt CT or MRI regardless of US results lUS negative mean
4、s no observation or only definitely benign observation s Patients at risk for HCC b Cirrhosisc Hepatitis B Cd Alcohol Genetic hemochromatosis Non alcoholic fatty liver disease NAFLD e Stage 4 primary biliary cholangitisf Alpha 1 antitrypsin deficiency Other causes of cirrhosisg Without cirrhosis Hepatitis B carriersc h Additional workup See HCC 2 Repeat US AFP in 3 6 mo Version 3 2019 08 01 19 2019 National Comprehensive Cancer Network NCCN All rights reserved NCCN Guidelines and this illustrati
5、on may not be reproduced in any form without the express written permission of NCCN NCCN Guidelines Version 3 2019 Hepatocellular Carcinoma NCCN Guidelines Index Table of Contents Discussion Printed by Maria Chen on 8 5 2019 2 04 34 AM For personal use only Not approved for distribution Copyright 2019 National Comprehensive Cancer Network Inc All Rights Reserved Note All recommendations are category 2A unless otherwise indicated Clinical Trials NCCN believes that the best management of any patie
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