Kana gomarara rekutanga rechiropa rakabatana neascites, jaundice, kure metastasis, nezvimwewo, inodaidzwa kunzi advanced primary cancer cancer. Kurapwa kwegomarara rekutanga rechiropa kwakaoma, uye kurapwa kwekiriniki hakuna kunaka. Kuvhiya haisi sarudzo yekurapa cancer yechiropa yepamusoro nekuti yakapararira kumalymph nodes kana dzimwe nhengo.
Kana chiropa chiri muhutano hwakanaka (Child-Pugh grade A kana B), chiremba achafunga kurapwa nemishonga yakananga yeSorafenib (Nexavar) kana Lenvama (Lenvima). Kukura kunogona kuwedzera nguva yekupona kwevarwere. Kana murwere akawedzera kuramba zvinodhaka, mushonga wakanangwa repaglinide (Stivarga) kana iwo immunotherapy drug nivolumab (Opdivo) inogona kushandiswa pachinzvimbo.
Pamusoro pezvo, kuramba wakatarisa ruzivo rwekiriniki yekuyedza chero nguva uye kutora chikamu mune yakakodzera miedzo yekiriniki senge chemotherapy, radiotherapy, uye immunotherapy zvinogonawo kuunza mikana uye tariro kune varwere vane advanced gomarara rechiropa. Zvinotarisirwa kuti mumakore mashoma anotevera, vaongorori vachaita budiriro huru mumunda wekuongororwa kwegomarara rechiropa uye kurapwa.
