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Clinicopathological Study of Hepatocellular Carcinoma in Relation to Tumor Size
http://hdl.handle.net/10069/15747
http://hdl.handle.net/10069/15747f627546e-3df5-484f-b673-a627025db37e
名前 / ファイル | ライセンス | アクション |
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acta33_01_41_t.pdf (927.3 kB)
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Item type | 紀要論文 / Departmental Bulletin Paper(1) | |||||
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公開日 | 2008-03-13 | |||||
タイトル | ||||||
タイトル | Clinicopathological Study of Hepatocellular Carcinoma in Relation to Tumor Size | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | departmental bulletin paper | |||||
著者 |
Shimoyama, Takatoshi
× 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 |
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抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 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<0.05 ). Above findings indicate that early detection of the tumor without portal vein thrombus and/or satellite tumor, and an adequate hepatic resection such as subsegmentectomy or segmentectomy are most improtant for the patient's survival. | |||||
書誌情報 |
Acta medica Nagasakiensia 巻 33, 号 1-4, p. 228-234, 発行日 1988-10-25 |
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ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 00016055 | |||||
書誌レコードID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AA00508430 | |||||
著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
sortkey | ||||||
P00228-P00234 | ||||||
引用 | ||||||
内容記述タイプ | Other | |||||
内容記述 | Acta medica Nagasakiensia. 1988, 33(1-4), p.228-234 |