The Japanese integrated staging score using liver damage grade for hepatocellular carcinoma in patients after hepatectomy
| Autor: | Shigeyuki Morino, Noboru Ide, Toru Yasutake, Yorihisa Sumida, Hiroyuki Yamaguchi, Kenji Tanaka, Takeshi Nagayasu, T Sawai, A. Nanashima, Shinichi Shibasaki, T. Nakagoe |
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| Rok vydání: | 2004 |
| Předmět: |
Adult
Male medicine.medical_specialty Carcinoma Hepatocellular medicine.medical_treatment Gastroenterology Disease-Free Survival chemistry.chemical_compound Japan Internal medicine medicine Humans Liver damage Stage (cooking) Survival analysis Aged Neoplasm Staging Aged 80 and over business.industry Liver Neoplasms General Medicine Middle Aged medicine.disease Survival Analysis digestive system diseases Oncology chemistry Hepatocellular carcinoma Surgery Female Liver function Hepatectomy Liver cancer business Indocyanine green |
| Zdroj: | European journal of surgical oncology : the journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology. 30(7) |
| ISSN: | 0748-7983 |
| Popis: | Aims. The new Japanese staging system for hepatocellular carcinoma (HCC), the Japan integrated staging (JIS) score, accounts for both Child–Pugh classification and Japan tumour node metastasis (TNM) staging. However, in HCC patients who undergo hepatectomy, liver function is relatively good and a better prognostic classification of hepatic function is necessary. Methods. The present study was designed to analyse the modified JIS score using liver damage grade by the Liver Cancer Study Group of Japan instead of the Child–Pugh classification (using the category indocyanine green retention rate at 15 min [ICG R15 ] instead of encephalopathy), and to compare the Japan TNM stage in 101 patients who underwent resection of HCC. Results. The liver damage grade showed significantly better discrimination of disease-free and overall survival than did the Child–Pugh classification. The modified JIS score system showed significant differences of disease-free and overall survivals in each score and this system was superior for discriminating survivals compared with the TNM staging. Conclusions. The combined staging system of hepatic function, particularly ICG R15 , and tumour stage provides a better prediction of prognosis. The JIS score using the liver damage grade was a useful predictor of prognosis of HCC patients who underwent hepatic resection. |
| Databáze: | OpenAIRE |
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