Interventional expert consensus on integrated traditional Chinese and Western medicine for the diagnosis and treatment of hepatocellular carcinoma(trial editionⅠ)

This consensus is compiled by the experts of hepatocellular carcinoma(HCC) project team, which is under the "major and difficult diseases-the clinical cooperation project of traditional Chinese medicine and Western medicine" of the State Administration of Traditional Chinese Medicine of China. This HCC project team has established minimally-invasive radical ablation for early stage HCC and transcatheter arterial chemoembolization(TAE/TACE) sequential minimally-invasive interventional ablation for advanced HCC, and on the basis of traditional Chinese Medicine(TCM) theory of "determination of treatment based on differentiation of syndromes" the team has further developed a liver ablation system which is represented by hepatic segment ablation, including interventional embolization of labeled tumors, sequential minimally-invasive local ablation and anatomical mode ablation, and elimination of radiographically visible tumors, etc. Based on the TCM theory of "improving the general condition and eliminating the causative agents", reasonable and suitable therapeutic measures are adopted to improve the body's immune function, to remodel a micro-environment that is unsuitable for tumor growth, and to eliminate radiographically invisible tumors. After long-term efforts, the HCC project team has found out the overall solution of "integrated clinical cooperative treatment of HCC with traditional Chinese and Western medicine". This consensus is characterized by the combination of TCM micro-environment conditioning and micro-invasive ablation, it has fully played the TCM overall therapeutic advantages such as "improving the general condition and eliminating the causative agents", "determination of treatment based on differentiation of syndromes", accurately inactivating tumor with minimally-invasive ablation while effectively preserving the normal anatomical structure, physiological functions and immune functions, etc. The overall therapy combined with local ablation treatment and the TCM conditioning combined with minimally-invasive ablation have initiated a novel mode of minimally-invasive diagnosis and treatment of integrated traditional Chinese and Western medicine in treating HCC. After the implementation of this consensus, the treatment of BCLC stage A HCC can obtain the same radical effect as the open surgery. Moreover, the treatment of BCLC Stage B/C HCC that previously could not be treated with open surgery can also obtain radical effect. The above achievements have made the treatment of HCC entering a novel stage, in which a new mode of human cultural diagnosis and treatment becomes to be employed in clinical practice, and the implementation of this project can maximize the effect of health economics.