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Titolo:
SURGICAL-TREATMENT OF HEPATOCELLULAR-CARCINOMA WITH BILIARY TUMOR THROMBI
Autore:
MOK KT; CHANG HT; LIU SI; JOU NW; TSAI CC; WANG BW;
Indirizzi:
NATL YANG MING UNIV,DEPT SURG,VET GEN HOSP KAOHSIUNG,386 TA CHUNG 1STRD KAOHSIUNG TAIWAN
Titolo Testata:
International surgery
fascicolo: 3, volume: 81, anno: 1996,
pagine: 284 - 288
SICI:
0020-8868(1996)81:3<284:SOHWBT>2.0.ZU;2-P
Fonte:
ISI
Lingua:
ENG
Soggetto:
POSTOPERATIVE RECURRENCE; OBSTRUCTIVE-JAUNDICE; ALPHA-FETOPROTEIN; HEPATIC RESECTION; PREDICTION; PROGNOSIS; SURVIVAL; DUCT;
Keywords:
CARCINOMA; HEPATOCELLULAR; JAUNDICE; TUMOR THROMBI; HEPATECTOMY;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Citazioni:
20
Recensione:
Indirizzi per estratti:
Citazione:
K.T. Mok et al., "SURGICAL-TREATMENT OF HEPATOCELLULAR-CARCINOMA WITH BILIARY TUMOR THROMBI", International surgery, 81(3), 1996, pp. 284-288

Abstract

Treatment is always abandoned in those HCC with jaundice, because it is usually attributed to the underlying liver cirrhosis and extensive tumor. In this series, 7 cases (0.8%) of HCC with jaundice were causedby bile duct invasion and tumor thrombi (BTT). 57% of cases showed Charcot's triad, 57% of BTT were small HCC, significantly higher than the 1.7% of total cases (p<0.05). The growth pattern of BTT was all spreading type, significantly higher than the 42% of total operation cases(p<0.05). The DNA ploidy of BTT was all aneuploid, 57% of BTT had AFPlevel higher than 400 IU/ml, but it was 27% in total eases, The prognosis is poor in those treated with palliative tube drainage, Aggressive hepatic resection was proved to be safe and achieved the best results in our limited experience. Choledochotomy to remove tumor thrombi iscontraindicated because it easily causes tumor seeding, It is advocated to search BTT for resection from the group of HCC with jaundice.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 03/12/20 alle ore 14:02:15