The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
A STUDY OF SURVIVED CASES OVER 3 YEARS AFTER HEPATIC RESECTION FOR HEPATOMA
Minoru NAKAMOTOMasaru NARUSESatoru YANAGISAWAHaruyuki AKITAYohichi TOHYAMAYoshinori INAGAKITsuneo TAKAHASHIKaoru MIZUSAKIGohsei CHOUTeruaki AOKI
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Keywords: AFP
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1990 Volume 51 Issue 12 Pages 2627-2632

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Abstract

The difference between over and beyond 3 years survivals was studied in cases undergone hepatic resection for hepatocellular carcinoam. Fifty-three cases were operated on and the factors which allowed to expect for over 3 years survivals after hepatic resection were: 1) The average tumor size was within 3.5×3.2cm. 2) The tumor/hepatectomized area ratio was within 30±10%. 3)AFP reduction ratio before and after hepatic resection was over about 96%. And as the ratio was higher, the longer survival period could be expected.
Other factors such as tumor thrombus in the portal vein and classification of cell atypia (Edmondson's classification) could not yield any definite prospects for over 3 years survival. Moreover, multiple primary tumors also had no possibility of long survivals in our series.

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© Japan Surgical Association
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