Clinical characteristics and survival of European patients with resectable large hepatocellular carcinomas

Felice Giuliante, Francesco Ardito, Gennaro Nuzzo, Agostino Maria De Rose, Vito Guerra, Brian I. Carr

Risultato della ricerca: Contributo in rivistaArticolo in rivistapeer review

3 Citazioni (Scopus)

Abstract

PURPOSE: Large hepatocellular carcinoma (HCC) presents on cirrhosis or in the absence of cirrhosis. Prognostic factors include both tumor and liver factors. Evaluate clinical and tumor characteristics of a group of large resected HCC in European patients. METHODS: Data for patients with HCC >7 cm who underwent liver resection between 1992 and 2011 were analyzed. Patients were dichotomized into those with tumor diameters of 7-10 cm or >10 cm and their characteristics and outcomes were compared. RESULTS: A total of 65 hepatectomies for HCC ≥7 cm were performed. Severe fibrosis or cirrhosis was present in 41.5 % of patients. Thirty-seven (56.9 %) patients had HCC ≥10 cm. Mortality and morbidity rates were 1.5 % and 37.5 %, respectively. Preoperative blood platelet levels and serum alkaline phosphatase (ALKP) levels showed significant differences between the groups. The 3-year survival was 43.5 % and 17.4 % for patients with tumors 7-10 and ≥10 cm, respectively. CONCLUSIONS: Patients with large size HCC and preserved liver function can be resected with low operative risk. ALKP levels and platelet counts were higher in the larger tumors. Given these patterns of clinical and biochemical characteristics, this group of tumors may be a selected subset of large HCCs and might potentially benefit from surgical resection.
Lingua originaleEnglish
pagine (da-a)329-335
Numero di pagine7
RivistaJournal of Gastrointestinal Cancer
Volume44
DOI
Stato di pubblicazionePubblicato - 2013

Keywords

  • Hepatocellular carcinoma
  • Large hepatocellular carcinoma
  • Liver cirrhosis
  • Liver resection
  • Long term survival
  • Prognostic factors
  • Surgical risk

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