Clinical examination of hepatocellular carcinoma treated at the department of surgery, public fujioka general hospital.
-
- Ishizaki Masatoshi
- Department of Surgery, Public Fujioka General Hospital
-
- Akiyama Norio
- Department of Surgery, Public Fujioka General Hospital
-
- Tanaka Shigebumi
- Department of Surgery, Public Fujioka General Hospital
-
- Osawa Kiyotaka
- Department of Surgery, Public Fujioka General Hospital
-
- Fujita Koichiro
- Department of Surgery, Public Fujioka General Hospital
-
- Sugiyama Hiroyuki
- Department of Surgery, Public Fujioka General Hospital
-
- Kano Kenichi
- Department of Surgery, Public Fujioka General Hospital
-
- Toki Fumiaki
- Department of Surgery, Public Fujioka General Hospital
-
- Iijima Toshihide
- JR Medical Center
-
- Nemoto Masaaki
- 1st Department of Surgery, Gunma University School of Medicine
-
- Kogure Kimitaka
- 1st Department of Surgery, Gunma University School of Medicine
この論文をさがす
抄録
We clinically examined 137 patients with hepatocellular carcinoma (99 males, 38 females, mean age : 65.7 years) who were treated at the Department of Surgery, Public Fujioka General Hospital between June 1989 and December 1997. The proportion of HBsAg-positive patients was 5.1%. The proportion of HCV-positive patients was 83.2%. The incidence of liver cirrhosis was 90%.<BR>The clinical stage was evaluated as I in 24.8% of the patients, II in 54.0% of the patients and III in 21.2% of the patients. In most patients, hepatic functional reserve was reduced. Concerning the number of tumors, 46% of the patients had solitary tumor, while 25.5% of the patients had 5 or more tumors. More than half the patients had multiple tumors. The maximal mean tumor diameter was 5.6 cm. According to staging, 5.8%, 29.9%, 10.2%, 46.0% and 8.0% of the patients had stage-I, -II, -III, -IV A and-IV B lesions, respectively.<BR>Surgery was performed in 22.6% of the patients. There were no surgical deaths. In the hepatectomy group, 1-year, 3-year and 5-year cumulative survival rates were 84.6%, 63.8% and 54.9%, respectively. In the TAE group, 1-year and 3-year cumulative survival rates were 54.9% and 24.9%, respectively. In the LPD group, 1-year, 3-year and 5-year cumulative survival rates were 68.4%, 13.0% and 13.0%, respectively. In the arterial infusion group with a reservoir, the 1-year cumulative survival rate was 31.5%.<BR>Therefore, hepatectomy may be effective for patients in whom surgery is possible. In patients in whom surgery is impossible, TAE, LPD and arterial infusion with a reservoir may prolong survival.
収録刊行物
-
- 北関東医学
-
北関東医学 49 (2), 117-122, 1999
北関東医学会
- Tweet
キーワード
詳細情報 詳細情報について
-
- CRID
- 1390282681315581824
-
- NII論文ID
- 130000880068
-
- ISSN
- 18811191
- 13432826
-
- 本文言語コード
- en
-
- 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