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Purpose: There is yet no ideal single staging system for hepatocellular carcinoma (HCC). The aim of this study was to analyze HCC survival times according to the TNM, Okuda, CLIP, JIS, and BCLC staging systems and their prognostic discrimination ability.
Methods: A retrospective analysis of medical records and statistical data from the Korean statistical information service was done for HCC patients diagnosed at Bundang CHA hospital between June, 1992 and February, 2009.
Results: During follow-up, 121 (72%) of 168 people died and 1, 3 and 5 year overall survival rates were, respectively, 58%, 35% and 25%. In the analysis of discriminative ability of each staging system, the CLIP staging system showed the highest LR X2 value, and the lowest AIC value (p＜0.05). Therefore, the CLIP staging system appears to be superior to the other systems.
Conclusion: Of the 5 staging systems in this study, the CLIP staging system was superior to the other systems, but the results of many other studies from different countries have varied. It is necessary to establish the staging system suitable for each country’s actual circumstances.
Methods: A retrospective analysis of medical records and statistical data from the Korean statistical information service was done for HCC patients diagnosed at Bundang CHA hospital between June, 1992 and February, 2009.
Results: During follow-up, 121 (72%) of 168 people died and 1, 3 and 5 year overall survival rates were, respectively, 58%, 35% and 25%. In the analysis of discriminative ability of each staging system, the CLIP staging system showed the highest LR X2 value, and the lowest AIC value (p＜0.05). Therefore, the CLIP staging system appears to be superior to the other systems.
Conclusion: Of the 5 staging systems in this study, the CLIP staging system was superior to the other systems, but the results of many other studies from different countries have varied. It is necessary to establish the staging system suitable for each country’s actual circumstances.
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참고문헌 (25)
참고문헌 신청
1. [학술지(정기간행물)] - Korean Liver Cancer Study Group and National Cancer Center, Korea / 2009 / Practice guidelines for management of hepatocellular carcinoma 2009 / Korean J Hepatol 15 : 391 ~ 423
2. [학술지(정기간행물)] - Chen CH / 2009 / Applicability of staging systems for patients with hepatocellular carcinoma is dependent on treatment method--analysis of 2010 Taiwanese patients / Eur J Cancer 45 : 1630 ~ 1639
3. [학술지(정기간행물)] - Varotti G / 2005 / Comparison between the fifth and sixth editions of the AJCC/UICC TNM staging systems for hepatocellular carcinoma: multicentric study on 393 cirrhotic resected patients / Eur J Surg Oncol 31 : 760 ~ 767
4. [학술지(정기간행물)] - Minagawa M / 2007 / Staging of hepatocellular carcinoma: assessment of the Japanese TNM and AJCC/UICC TNM systems in a cohort of 13,772 patients in Japan / Ann Surg 245 : 909 ~ 922
5. [학술지(정기간행물)] - Okuda K / 1985 / Natural history of hepatocellular carcinoma and prognosis in relation to treatment. Study of 850 patients / Cancer 56 : 918 ~ 928
2. [학술지(정기간행물)] - Chen CH / 2009 / Applicability of staging systems for patients with hepatocellular carcinoma is dependent on treatment method--analysis of 2010 Taiwanese patients / Eur J Cancer 45 : 1630 ~ 1639
3. [학술지(정기간행물)] - Varotti G / 2005 / Comparison between the fifth and sixth editions of the AJCC/UICC TNM staging systems for hepatocellular carcinoma: multicentric study on 393 cirrhotic resected patients / Eur J Surg Oncol 31 : 760 ~ 767
4. [학술지(정기간행물)] - Minagawa M / 2007 / Staging of hepatocellular carcinoma: assessment of the Japanese TNM and AJCC/UICC TNM systems in a cohort of 13,772 patients in Japan / Ann Surg 245 : 909 ~ 922
5. [학술지(정기간행물)] - Okuda K / 1985 / Natural history of hepatocellular carcinoma and prognosis in relation to treatment. Study of 850 patients / Cancer 56 : 918 ~ 928
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UCI(KEPA) : I410-ECN-0101-2014-514-001278128