Clinicopathologic features of long-term survivors and disease-free survivors after resection of hepatocellular carcinoma

R. T.P. Poon;I. O.L. Ng;上达 范;E. C.S. Lai;C. M. Lo;C. L. Liu;J. Wong

The University of Hong Kong

发表时间:2001-6-15

期 刊:Journal of Clinical Oncology

语 言:English

U R L: http://www.scopus.com/inward/record.url?scp=0035876047&partnerID=8YFLogxK

摘要

Purpose: This study aims to clarify the clinicopathologic features of long-term survivors and disease-free survivors after resection of hepatocellular carcinoma (HCC). Patients and Methods: The clinicopathologic features of 5-year survivors and disease-free survivors were elucidated in a cohort of 230 patients prospectively observed for > 5 years (64 to 192 months) after curative resection of HCC. Results: The incidence of 5-year overall and disease-free survivors were 37% (85 of 230) and 20% (45 of 230), respectively. Clinicopathologic features associated with 5-year survivors included female sex (P = .024), preoperative serum albumin ≥ 40 g/L (P = .033), AST < 50 u/L (P = .001), tumor < 5 cm (P = .001), solitary tumor (P = .035), encapsulated tumor (P = .021), no venous invasion (P = .001), no microsatellite nodule (P = .001), and early pathologic tumor-node-metastasis (pTNM) stage (I or II, P < .001). Features favoring 5-year disease-free survivors were preoperative serum AST < 50 u/L (P = .007), tumor < 5 cm (P = .005), encapsulated tumor (P = .007), no venous invasion (P < .001), no microsatellite nodule (P = .001), and early pTNM stage (I or II, P < .001). By multivariate analysis, pTNM stage was the only significant predictive factor for both overall and disease-free survival. Conclusion: This study shows that long-term disease-free survival > 5 years after resection of HCC can be achieved in patients with favorable tumor characteristics. Early pTNM stage was the most reliable predictor of both long-term overall and disease-free survivors.

相关科学

生物化学、遗传学和分子生物学
癌症研究
医学
肿瘤学

被引量

期刊度量

Scopus度量

年份 CiteScore SJR SNIP
1996
1997
1998
1999 3.066 3.656
2000 3.972 3.914
2001 4.111 3.97
2002 4.274 3.801
2003 5.044 4.28
2004 5.274 3.993
2005 5.261 4.074
2006 5.478 3.641
2007 6.889 4.005
2008 7.238 3.943
2009 7.574 4.199
2010 8.326 4.289
2011 26.7 9.128 4.793
2012 28.9 9.281 4.86
2013 27.8 8.389 4.649
2014 26.3 8.324 4.466
2015 28.6 9.146 4.914
2016 29.9 9.1 5.01
2017 31.4 10.683 5.221
2018 35.1 11.754 5.396
2019 35.4 10.054 5.568
2020 36.1
2021

相似文献推荐