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Titolo:
PALLIATIVE SURGICAL-TREATMENT FOR RECURRENT AND NONRESECTABLE HEPATOCELLULAR-CARCINOMA
Autore:
IMAOKA S; SASAKI Y; MASUTANI S; FURUKAWA H; ISHIKAWA O; KABUTO T; KAMEYAMA M; KOYAMA H; IWANAGA T;
Indirizzi:
CTR ADULT DIS,DEPT SURG,1-3-3 NAKAMICHI HIGASHINARIKU OSAKA 537 JAPAN
Titolo Testata:
Hepato-gastroenterology
fascicolo: 4, volume: 40, anno: 1993,
pagine: 342 - 346
SICI:
0172-6390(1993)40:4<342:PSFRAN>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
HEPATIC DEARTERIALIZATION; LIVER; EMBOLIZATION; THERAPY; ARTERY; CANCER;
Keywords:
WRAPPING THERAPY; TRANSARTERIAL CHEMOEMBOLIZATION; HCC;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Science Citation Index Expanded
Science Citation Index Expanded
Citazioni:
9
Recensione:
Indirizzi per estratti:
Citazione:
S. Imaoka et al., "PALLIATIVE SURGICAL-TREATMENT FOR RECURRENT AND NONRESECTABLE HEPATOCELLULAR-CARCINOMA", Hepato-gastroenterology, 40(4), 1993, pp. 342-346

Abstract

Of 275 patients who had a radical hepatic resection for HCC, 143 (52%) experienced recurrences. Of these 143 patients, the liver was the site of first recurrence in 130 patients (91%). The first form of therapy for recurrent patients was transarterial chemoembolization (TACE) in82 (74%), hepatic resection in 15 (14%) and percutaneous ethanol injection in 6 (5%) of the 111 patients who received regional therapy. Post-recurrent survival rates of TACE and hepatic resection were 37%, 77%at 3 years and 17%, 77% at 5 years, respectively. Wrapping therapy was performed in seven patients, two of whom had received repeat TACE for intrahepatic recurrence; the remaining 5 were unresectable cases. After wrapping therapy, the area of previous collateral feeders was be supplied by the hepatic artery. The high level of AFP decreased dramatically. This procedure resulted in a complete response in 2 patients, apartial response in 3 and no change in 2. Overall survival was 4-54 months, and the median survival was 18 months. Two patients are still alive, 18 and 20 months after the procedure.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 02/12/20 alle ore 14:04:29