纳维雅®(注射用三氧化二砷)在肝癌(ɡānái)治疗新进展黑龙江嘉通药业黑龙江嘉通药业第一页,共八十七页。中国(zhōnɡɡuó)是肝癌发病重灾区GLOBOCAN2008(IARC),SectionofCancerInformation(19/10/2010)GLOBOCAN2008(IARC),SectionofCancerInformation(19/10/2010)03.05.38.317.6117Age-standardisedincidenceratesper100,000男性(nánxìng)发病率:34.7/100,000(292,966例)女性发病率:13.7/100,000(109,242例)男性(nánxìng)死亡率:34.1/100,000(226,830例)女性死亡率:13.1/100,000(105,249例)占全球病人的55%占全球病人的55%03.05.38.317.6117Age-standardisedincidenceratesper100,000第二页,共八十七页。OrganisationCountryYearEvidencebase中国卫生部中国2011Allstudytypes†——肝癌诊疗规范(2011版)1J-HCCJapan2010Allstudytypes†11APASL亚太地区2010Allstudytypes*2NCCNUS2009Mainlylevel2Aevidence(phaseII,cohort/casestudies&experience)3HUGUK2009Allstudytypes*4SpanishconsensusSpain2009Allstudytypes*5AustrianconsensusAustria2008Allstudytypes*&expertopinion/experience6AFEFProdigeFrance2008Expertopinion/experience7AASLDUS2005Allstudytypes*&expertopinion/experience,Updateindevelopment7BASLUK2004SupersededbyHUGguidelines(2009)8BSGUK2003Allstudytypes*&expertopinion/experience9EASLEU2001Allstudytypes*,UpdateindevelopmenttogetherwithEORTC10ItalianguidelinesItaly2001-*Datafromrandomizedcontrolledtrials,controlledtrialswithoutrandomization,cohort/casestudies,uncontrolledretrospectivestudies,meta-analysis†Datafromrandomizedcontrolledtrialscontrolledtrialswithoutrandomizationcohort/casestudiescontrolledretrospectivestudiesmeta-analysis肝癌(ɡānái)诊疗指南(2001~至今)第三页,共八十七页。HCC的多学科(xuékē)治疗根治性治疗:–外科治疗:切除手术或肝移植;–局部消融;–立体精确放疗.姑息治疗:–介入治疗(TACE);–系统化疗;–局部消融;–中医药治疗.卫生部原发性肝癌(ɡānái)诊疗规范(2011年版)第四页,共八十七页。自90年代(niándài),术后生存率未再有明显提高60年代至90年代,肝癌手术治疗后生存率明显提高,但90年代至今,尽管诊断、治疗、手术技术等均有改善,但患者的生存率却未有(wèiyǒu)明显进步60年代至90年代,肝癌手术治疗后生...