[A clinicopathological study of the extension modes of hepatocellular carcinoma evaluated from surgically removed and autopsied cases--the prognostic factors and operability].
Twenty-six surgically removed and 57 autopsied hepatomas have been examined with reference to such extension factors as tumor size and location, serosal involvement, vascular involvement, remote and lymphatic, as well as to intrahepatic metastasis. Significant differences were found with regard to each of these factors between the two studied groups. In the surgical group, cases exhibiting expansive growth with capsular formation, occupation of a single segment, and no intrahepatic metastasis showed a favorable outcome, whereas the distance to the surgical margin and the vascular involvement did not affect the outcome. The surgical removal of the tumor emboli together with the main tumor was successful in one case.
Kasashima
M
M
1st Dept. of Surgery, Faculty of Med., Toyama Medical & Pharmaceutical Univ.
Tsuzuki
T
T
Tashiro
Y
Y
Itoh
H
H
D000328:Adult; D000368:Aged; D006528:Carcinoma, Hepatocellular / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D005260:Female; D006498:Hepatectomy; D006801:Humans; D008103:Liver Cirrhosis / Q000150:complications; D008113:Liver Neoplasms / Q000401:mortality / Q000473:pathology* / Q000601:surgery; D008207:Lymphatic Metastasis; D008297:Male; D008875:Middle Aged; D009361:Neoplasm Invasiveness; D009362:Neoplasm Metastasis; D009360:Neoplastic Cells, Circulating; D011379:Prognosis