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ID 37799
file
creator
Asahara, Toshimasa
Dohi, Kiyohiko
Katayama, Koji
Itamoto, Toshiyuki
Okamoto, Yuzo
Nakahara, Hideki
Ono, Eiji
Sugino, Keizo
Marubayashi, Seiji
Yahata, Hiroshi
Kitamoto, Mikiya
Nakanishi, Toshio
Azuma, Kazuyoshi
Ito, Katsuhide
Shimamoto, Fumio
subject
Hepatocellular carcinoma
Hepatectomy
Prognostic factor
NDC
Medical sciences
abstract
A retrospective analysis of clinical and pathological factors was performed on 132 surgical cases with solitary-nodule type HCC in our hospital. The overall cancer-free survival rates after 1, 3 and 5 years were 82.2%, 42.3% and 26.5%, respectively. With univariate analysis, the significant prognostic factors for survival were tumor size, cancer cell infiltration of the fibrous capsule of the tumor (fc-inf), invasion into portal vein (vp), and intrahepatic metastasis (im), while significant prognostic factors for non-recurrence were tumor size, fc-inf, vp, im, Edmondson-Steiner's classification and perioperative blood transfusion. With multivariate analysis for recurrence, significant factors were vp, clinical stage (CS), and perioperative blood transfusion. Therefore, prognostic factors for long-term survival in surgical cases of HCC are thought to be good hepatic function, absence of portal invasion, and avoidance of perioperative blood transfusion if possible.
journal title
Hiroshima Journal of Medical Sciences
volume
Volume 47
issue
Issue 3
start page
99
end page
104
date of issued
1998-09
publisher
Hiroshima University Medical Press
issn
0018-2052
ncid
language
eng
nii type
Departmental Bulletin Paper
HU type
Departmental Bulletin Papers
DCMI type
text
format
application/pdf
text version
publisher
department
Graduate School of Biomedical Science
University Medical Hospital
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