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Postresection recurrence of hepatocellular carcinoma treated by arterial embolization: Analysis of prognostic factors by Kenichi Takayasu; Fumihiko Wakao; Noriyuki Moriyama; Yukio Muramatsu; Susumu Yamazaki; Tomoo Kosuge; Tadatoshi Takayama; Shuichi Okada; Nobuo Okazaki; Masatoshi Makuuchi is a Medicine article available to read on EtoBox.
What is Postresection recurrence of hepatocellular carcinoma treated by arterial embolization: Analysis of prognostic factors about?
Of 270 consecutive patients with hepatocellular carcinoma who underwent surgery, 60 who had recurrence and were subsequently treated with transcatheter arterial embolization were analyzed. The longest interval between surgery and recurrence in the 60 patients who underwent transcatheter arterial embolization was 7 yr. Recurrence was initially found in the remnant liver in all patients but one; extrahepatic metastases were detected in 13 patients (26%) during follow-up. A "multiple" type was the most common (64%) hepatic recurrence pattern on angiography, followed by the "solitary" (16%) and "tumor thrombus" (12%) patterns. Hepatic recurrence was most frequently found in the ipsilateral lobe (48%) relative to the site of the primary hepatocellular carcinoma. Multivariate analysis of the factors affecting survival after transcatheter arterial embolization indicated that recurrence pattern (p = 0.026) and distant metastases (p = 0.011) were significant. Of 13 patients with distant metastases, 11 had the "multiple" pattern of hepatic recurrence. Survival rates for all 60 patients after initial surgery and after transcatheter arterial embolization were 90% and 64%, respectively, at 1 yr
Who reads Postresection recurrence of hepatocellular carcinoma treated by arterial embolization: Analysis of prognostic factors?
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- Author
- Kenichi Takayasu; Fumihiko Wakao; Noriyuki Moriyama; Yukio Muramatsu; Susumu Yamazaki; Tomoo Kosuge; Tadatoshi Takayama; Shuichi Okada; Nobuo Okazaki; Masatoshi Makuuchi
- Publisher
- Ovid Technologies (Wolters Kluwer Health)
- Published
- 1992
- Language
- EN
- Field
- Medicine (Health Sciences)