基础医学与临床 ›› 2012, Vol. 32 ›› Issue (2): 222-225.

• 研究论文 • 上一篇    下一篇

既往肝外恶性肿瘤病史患者的肝脏移植

李磊   

  1. 北京大学第三医院普通外科
  • 收稿日期:2011-12-20 修回日期:2011-12-23 出版日期:2012-02-05 发布日期:2012-01-12
  • 通讯作者: 李磊 E-mail:drlilei223@sina.com

The Liver Transplantation in patients with previous extrahepatic malignancies

  • Received:2011-12-20 Revised:2011-12-23 Online:2012-02-05 Published:2012-01-12

摘要: 目的 探讨既往有肝外恶性肿瘤病史患者的肝移植手术适应症和疗效。方法 2例术前分别因直肠癌和乳腺癌接受过根治性外科手术的患者,因肝癌或肝硬化接受同种异体原位肝移植术,术后采用个体化免疫抑制治疗方案,并对肝癌患者行术后常规化疗。 结果 2例患者术后恢复顺利,分别随访79个月年及34个月,肝功能良好,既往肝外肿瘤均未见复发。 结论 对既往有肝外恶性肿瘤的患者,肝移植手术并非禁忌,挑选合适的受者并采取个体化免疫抑制和化疗方案,可以取得满意疗效。

关键词: 肝移植, 肝外恶性肿瘤, 直肠癌, 乳腺癌

Abstract: Objective To study the indication of liver transplantation for the patients with previous extrahepatic malignancies. Methods 2 patients with hepatocelleuer carcinoma or liver cirrhosis,had suffered with rectal cancer and breast cancer, both of them had been receive radical surgery before, receiving orthotopic liver transplantation and postoperative treatment of individualize Immunosuppressive therapy, liver cancer patients after conventional chemotherapy. Results The patients recovered well after surgery, followed up for 79 months and 34 months, with good liver function, no tumor recurrence. Conclusion Previous extrahepatic malignancy should not be considered a contraindication for liver transplantation, selection of suitable patient and to take individual immunosuppressive and chemotherapy, can achieve satisfactory results.

Key words: Liver transplantation, previous extrahepatic malignancies, breast cancer, rectal cancer