Role of surgical treatment for recurrent hepatocellular carcinoma after hepatic resection View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

1993-11

AUTHORS

Yasuaki Nakajima, Takashi Ohmura, Jun Kimura, Tsuyoshi Shimamura, Kazuhito Misawa, Michiaki Matsushita, Naoki Sato, Yshie Une, Junichi Uchino

ABSTRACT

From 1978 to 1989, 164 patients underwent hepatic resection for hepatocellular carcinoma at our institution. The carcinoma was resected completely in 149 patients. Sixteen patients were excluded from this study because it was not known whether they were recurrent or disease free, or because death occurred as a result of surgical complications. Recurrent disease occurred in 48.1% of the remaining 133 patients. Fifty-seven patients had recurrent tumor only in the residual liver. A second hepatic resection was performed in 14 cases, 22 received intraarterial chemotherapy and/or arterial embolization without resection,a nd the remaining 21 received no anticancer therapy. The 5-year survival rate of patients who had a second resection was 92.0%. Recurrences in distant organs occurred in 14 patients, and the recurrent carcinoma was resected in five cases. Four of these 5 patients survived more than 3 years after the second surgery. Aggressive surgical resection of recurrent HCC, even for distant metastasis, is a viable approach, and may produce long-term survivors. More... »

PAGES

792-795

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/bf01659099

DOI

http://dx.doi.org/10.1007/bf01659099

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1039011808

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/8109120


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