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Hepatocellular carcinoma: Some aspects to improve long‐term survival
Author(s) -
Zhou XinDa,
Tang ZhaoYou,
Yu YeQin,
Ma ZengChen,
Yang BingHui,
Lu JiZhen,
Lin ZhiYing
Publication year - 1989
Publication title -
journal of surgical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.201
H-Index - 111
eISSN - 1096-9098
pISSN - 0022-4790
DOI - 10.1002/jso.2930410413
Subject(s) - medicine , hepatocellular carcinoma , subclinical infection , cirrhosis , stage (stratigraphy) , resection , surgery , carcinoma , paleontology , biology
Sixty‐six patients surviving over 5 years after resection of hepatocellular carcinoma (HCC) are investigated. Of them, subclinical stage amounted to 56.1% (37/66) and moderate stage to 43.9% (29/66). There were 35 cases with small HCC (⩽ 5 cm). Cirrhosis was present in 81.1% (54/66). Radical resection was performed in 98.5% (65/66) and palliative resection in 1.5% (1/66). Reoperation for subclinical recurrence and solitary pulmonary metastasis was done in 14 patients, and sequential resection of huge tumors, in three patients. By the end of June 1988, follow‐up varied from 60 to 319 months (mean, 115 months); 80.3% of the patients (53/66) are still alive and free of disease; 19.7% (13/66) died with disease. The majority of long‐term survivors have returned to their original work; some young patients got married after resection of small HCC 10 years ago, and some can even play football again. Some aspects to improve long‐term survival are discussed.