Clinicopathological Study of Hepatocellular Carcinoma in Relation to Tumor Size
| Autor: | Shimoyama, Takatoshi, Fukuda, Yutaka, Takahira, Ryohji, Miyashita, Kohsei, Ishikawa, Hiroshi, Tohchika, Hironobu, Yokota, Mitoshi, Kusano, Hiroyuki, Shimizu, Teruhisa, Nakagoe, Tohru, Hirano, Tatsuo, Miura, Toshio, Tomita, Masao |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 1988 |
| Zdroj: | Acta medica Nagasakiensia. 33(1-4):228-234 |
| ISSN: | 0001-6055 |
| Popis: | In order to evaluate the factors affecting the patient's survival, 32 patients of hepatic resection in which the liver had a sollitary hepatocellular carcinoma (HCC) smaller than 5 cm in size were studied. 1) Chronic liver diseases were associated in 96.9 % of patients. Minor resection was done in 30 patients, and right hepatectomy in two. 2) 87.5 % of all cases were diagnosed during periodic follow-up examination for the patients with chronic liver disease, mostly cirrhosis. For small HCC, ultrasonography (US) had the highest detection rate (90%) compared with CT (66.7%) and angiography (55.6%). Preoperative serum AFP values were abnormal in 73%. 3) Grossly, all tumors were nodular or expanding and none was diffuse. Encapsulation appeared to be complete as tumor grew. Portal vein tumor thrombus (12.5%) and/or satellite tumor (31.2%) were frequent in those with larger than 2 cm in diameter. 4) The mortality rate was 9.4% and the hospital mortality rate was 6.3 %. The survival rate of the group with small HCC was far better than that of the groups with HCC larger than 2 cm in size (p Acta medica Nagasakiensia. 1988, 33(1-4), p.228-234 |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|