Hepatocellular carcinoma: Some aspects to improve long-term survival

✍ Scribed by Xin-Da Zhou; Zhao-You Tang; Ye-Qin Yu; Zeng-Chen Ma; Bing-Hui Yang; Ji-Zhen Lu; Zhi-Ying Lin

• Publisher: John Wiley and Sons
• Year: 1989
• Tongue: English
• Weight: 702 KB
• Volume: 41
• Category: Article
• ISSN: 0022-4790
• DOI: 10.1002/jso.2930410413

✦ Synopsis

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 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.