慢性肝炎を背景とした肝細胞癌の切除成績

• 前場 隆志

  香川医科大学第1外科

• 若林 久男

  香川医科大学第1外科

• 岡田 節雄

  香川医科大学第1外科

• 濱本 勲

  香川医科大学第1外科

• 前田 肇

  香川医科大学第1外科

書誌事項

タイトル別名

• RESULTS OF RESECTED HEPATOCELLULAR CARCINOMA WITH CHRONIC HEPATITIS

抄録

Clinicopathological features and long term results of 23 resected cases of hepatocellular carcinoma (HCC) with chronic hepatitis (CH group) were studied in comparison with those of 81 cases of HCC with liver cirrhosis (LC group).<br> There were no significant differences in the histological findings except for the size of HCC between the two groups (CH group; 64±38mm, LC group; 44±26mm). The preoperative tests of the liver function (ICGR15 and prothrombin time) were significantly better in CH group than in LC group. Major hepatectomies, whose extent of hepatic resection exceed 2 hepatic segments, were more oftenly employed in CH group (61%) than in LC group (33%). CH group showed better 5-year cumulative survival rate (81.8%) and recurrence rate (25.5%), than those in LC group (42.1%, 82.4%), respectively. These results were considered to be attributed to followings; (1) Major resection of the liver could offer better curability of HCC. (2) The HCC arised from multicentric carcinogenesis seemed not to be feasible in CH group, whereas in LC group this multicentricity might accout for some of the recurrence.<br> It is concluded that major hepatic resection should be employed in patients with HCC in CH.

収録刊行物

• 日本臨床外科医学会雑誌

  日本臨床外科医学会雑誌 57 (7), 1561-1565, 1996

  日本臨床外科学会

キーワード

• 慢性肝炎合併肝細胞癌
• 肝硬変合併肝細胞癌
• 単中心性発癌
• 多中心性発癌
• 広範囲肝切除術

詳細情報

• CRID: 1390282680292968192
• NII論文ID: 130003600069
• NII論文ID: 10008522433
• NII書誌ID: AN00198696
• DOI: 10.3919/ringe1963.57.1561
• ISSN: 21892075
• ISSN: 03869776
• Web Site: http://www.jstage.jst.go.jp/article/ringe1963/57/7/57_7_1561/_pdf
• Web Site: https://search.jamas.or.jp/link/ui/1997024828
• データソース種別:
  • JaLC
  • Crossref
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可