Eastern Asia Middle Africa Eastern Africa Less developed

  • Slides: 24
Download presentation

發生率 & 死亡率 Eastern Asia 東亞地區 男性 女性 Middle Africa Eastern Africa Less developed

發生率 & 死亡率 Eastern Asia 東亞地區 男性 女性 Middle Africa Eastern Africa Less developed countries Melanesia South-Eastern Asia World More developed countries Western Europe South America 發生率 死亡率 Globocan 2002

電腦斷層 • 篩檢為陽性的病人，作為第一線診斷 具 • 建議使用動態影像 (Triphasic image) – Arterial phase: enhanced – Portal-venous

電腦斷層 • 篩檢為陽性的病人，作為第一線診斷 具 • 建議使用動態影像 (Triphasic image) – Arterial phase: enhanced – Portal-venous and/or delayed phases: washout

身體狀況評估 (Performance Status) 分級 0 Performance Status 1 Fully active, able to carry on

身體狀況評估 (Performance Status) 分級 0 Performance Status 1 Fully active, able to carry on all pre-disease performance without restriction Restricted in physically strenuous activity but ambulatory and able to carry out work of a light or sedentary nature, e. g. , light house work, office work 2 Ambulatory and capable of all selfcare but unable to carry out any work activities. Up and about more than 50% of waking hours 3 Capable of only limited selfcare, confined to bed or chair more than 50% of waking hours 4 Completely disabled. Cannot carry on any selfcare. Totally confined to bed or chair Dead 5

肝癌分期 • • TNM (AJCC) Okuda BCLC : Barcelona-Clinic Liver Cancer Staging CLIP :

肝癌分期 • • TNM (AJCC) Okuda BCLC : Barcelona-Clinic Liver Cancer Staging CLIP : Cancer of the Liver Italian Program CUPI: Chinese University Prognostic Index JIS: Japan Integrated Staging GRETCH

早期 Stage A 1 顆 , 或 3 顆但 <3 cm, PS 0 中期

早期 Stage A 1 顆 , 或 3 顆但 <3 cm, PS 0 中期 Stage B 晚期 Stage C 血管侵犯 遠處轉移 >5 cm, 多顆, PS 0 PS 1 -2 Child A-B 末期 Stage D Okuda 3 PS >2 Child C 無血管侵犯 手術切除 局部治療 換肝 5 -yr 存活 50 -70% 血管栓塞 (TACE) 3 -yr存活 15 -45% PS: performance status 標靶治療 臨床試驗 支持性療法 中位存活期: 東亞國家 ≈ 3個月 西方國家 ≈ 7個月 Lancet 2003; 362: 1907 Hepatology 2005; 42: 1208 Cardiovasc Intervent Radiol 2007; 30: 6

中期肝癌: 血管栓塞 (TACE: Transarterial chemoembolization)

中期肝癌: 血管栓塞 (TACE: Transarterial chemoembolization)

Developed and Less Developed Countries Developed country hasDeveloped and Less Developed Countries Developed country has
Eastern and Southern Asia Physical Geography Eastern AsiaEastern and Southern Asia Physical Geography Eastern Asia
SOUTHWEST ASIA Middle East Geography Southwest Asia MiddleSOUTHWEST ASIA Middle East Geography Southwest Asia Middle
Africa Asia After Independence Asia Africa After IndependenceAfrica Asia After Independence Asia Africa After Independence
EASTERN AFRICA FARMERS FEDERATION EAFF Eastern Africa FarmersEASTERN AFRICA FARMERS FEDERATION EAFF Eastern Africa Farmers
EASTERN AFRICA FARMERS FEDERATION EAFF Eastern Africa FarmersEASTERN AFRICA FARMERS FEDERATION EAFF Eastern Africa Farmers
Introduction The difference between developed and less developedIntroduction The difference between developed and less developed
MDC LDC HDI More Developed Countries Less DevelopedMDC LDC HDI More Developed Countries Less Developed
MDC LDC HDI More Developed Countries Less DevelopedMDC LDC HDI More Developed Countries Less Developed
MDC LDC HDI More Developed Countries Less DevelopedMDC LDC HDI More Developed Countries Less Developed
70 0 Less Developed More Developed Life Expectancy70 0 Less Developed More Developed Life Expectancy
More Developed vs Less Developed Countries Background QuestionsMore Developed vs Less Developed Countries Background Questions
Economics Objectives Contrast less developed with more developedEconomics Objectives Contrast less developed with more developed
Chapter 31 Middle East and Africa Middle EasternChapter 31 Middle East and Africa Middle Eastern
Africa AFRICA v During the Middle Age AfricaAfrica AFRICA v During the Middle Age Africa
Welcome to Southeast Asia Southeast Asia Southeast AsiaWelcome to Southeast Asia Southeast Asia Southeast Asia
Asia Section 1 Section 1 Asia South AsiaAsia Section 1 Section 1 Asia South Asia
Asia Unit Introduction Defining South Asia South AsiaAsia Unit Introduction Defining South Asia South Asia
Southeast Asia Mainland Southeast Asia Insular Southeast AsiaSoutheast Asia Mainland Southeast Asia Insular Southeast Asia
Asia Where is Asia Asia is to theAsia Where is Asia Asia is to the
Asia Geography Standards for Southern and Eastern AsiaAsia Geography Standards for Southern and Eastern Asia
Southern Eastern Asia POPULATION TRADE Brain Wrinkles AsiaSouthern Eastern Asia POPULATION TRADE Brain Wrinkles Asia
Africa More About Africa Africa Africa is theAfrica More About Africa Africa Africa is the