지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.85 No.6
- 발행연도
- 2013.12
- 수록면
- 269 - 274 (6page)
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초록· 키워드
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Purpose: Although many patients with hepatocellular carcinoma experience recurrence within 2 years after hepatectomy, some patients with T1 and T2 hepatocellular carcinoma show recurrence-free survival for more than 5 years after surgery. This study was designed to analyze the optimal follow-up period on patients with T1 and T2 hepatocellular carcinoma (HCC) showing recurrence-free survival 5 years after surgery.
Methods: One hundred seventy patients underwent hepatectomy from January 1995 to December 1999. Numbers of patients with T1 and T2 HCC were 76 and 73, respectively. The recurrence patterns of patients experiencing recurrence more than 5 years after liver resection were analyzed in aspect of clinicopathological features and follow-up period.
Results: Thirteen patients experienced recurrence more than 5 years after surgery. Only age was found as a significant factor for recurrence. Eight patients were checked regularly with 6-month intervals and the others were checked with 12-month or more intervals. The size of the recurrent tumors in the 6-month interval group had a median of 1.1 cm (range, 1 to 4.2 cm) and the size of the recurrent tumors in the 12-month or more interval group had a median of 3 cm (range, 1.6 to 4 cm). The tumor size was significantly smaller in the 6-month interval group.
Conclusion: Though the patients with early stage HCC showed high overall survival, some patients experienced a late recurrence of more than 5 years after surgery. Patients less than 60 years old with early stage HCC should be checked regularly with 6-month intervals even over 5 years after liver resection.
Methods: One hundred seventy patients underwent hepatectomy from January 1995 to December 1999. Numbers of patients with T1 and T2 HCC were 76 and 73, respectively. The recurrence patterns of patients experiencing recurrence more than 5 years after liver resection were analyzed in aspect of clinicopathological features and follow-up period.
Results: Thirteen patients experienced recurrence more than 5 years after surgery. Only age was found as a significant factor for recurrence. Eight patients were checked regularly with 6-month intervals and the others were checked with 12-month or more intervals. The size of the recurrent tumors in the 6-month interval group had a median of 1.1 cm (range, 1 to 4.2 cm) and the size of the recurrent tumors in the 12-month or more interval group had a median of 3 cm (range, 1.6 to 4 cm). The tumor size was significantly smaller in the 6-month interval group.
Conclusion: Though the patients with early stage HCC showed high overall survival, some patients experienced a late recurrence of more than 5 years after surgery. Patients less than 60 years old with early stage HCC should be checked regularly with 6-month intervals even over 5 years after liver resection.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (30)
참고문헌 신청
1. [학술지(정기간행물)] - European Association For The Study Of The Liver / 2012 / EASLEORTC clinical practice guidelines: management of hepatocellular carcinoma / J Hepatol 56 : 908 ~ 943
2. [학술지(정기간행물)] - Bruix J / 2011 / Management of hepatocellular carcinoma: an update / Hepatology 53 : 1020 ~ 1022
3. [학술지(정기간행물)] - Omata M / 2010 / Asian Pacific Association for the Study of the Liver consensus recommendations on hepatocellular carcinoma / Hepatol Int 4 : 439 ~ 474
4. [학술지(정기간행물)] - Kim SH / 2013 / Early predictor of mortality due to irreversible posthepatectomy liver failure in patients with hepatocellular carcinoma / World J Surg 37 : 1028 ~ 1033
5. [학술지(정기간행물)] - Belghiti J / 2000 / Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection / J Am Coll Surg 191 : 38 ~ 46
2. [학술지(정기간행물)] - Bruix J / 2011 / Management of hepatocellular carcinoma: an update / Hepatology 53 : 1020 ~ 1022
3. [학술지(정기간행물)] - Omata M / 2010 / Asian Pacific Association for the Study of the Liver consensus recommendations on hepatocellular carcinoma / Hepatol Int 4 : 439 ~ 474
4. [학술지(정기간행물)] - Kim SH / 2013 / Early predictor of mortality due to irreversible posthepatectomy liver failure in patients with hepatocellular carcinoma / World J Surg 37 : 1028 ~ 1033
5. [학술지(정기간행물)] - Belghiti J / 2000 / Seven hundred forty-seven hepatectomies in the 1990s: an update to evaluate the actual risk of liver resection / J Am Coll Surg 191 : 38 ~ 46
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UCI(KEPA) : I410-ECN-0101-2015-510-000972805