title: Twenty-one-year survival after hepatic resection for primary hepatocellular carcinoma. A case report and review of the literature.
abstract: Hepatocellular carcinoma still presents a very low long term survival rate. Scintiscan, ultrasonography, computer tomography, celiac arteriography as well as AFP monitoring have contributed to early diagnosis, better staging and surgical approach. Despite this progress, very few cases in the literature are reported to survive more than ten years. For this reason, a case of a patient who underwent hepatic resection for primary hepatocellular carcinoma twenty-one years ago, is presented. The parameters which at present are known to influence long term survival are discussed. However, it is suggested that other, unknown factors may play a major role in prolonged survival after resection for hepatocellular carcinoma. The literature on the subject is reviewed.
authors.affiliation: Second Surgical Department, NIMTS General Hospital, Athens, Greece.
authors.forename: G A
authors.initials: GA
authors.lastname: Rossonis
authors.forename: M E
authors.initials: ME
authors.lastname: Fatsis
authors.forename: S G
authors.initials: SG
authors.lastname: Rossonis
authors.forename: N
authors.initials: N
authors.lastname: Seferi-Daniil
mesh_terms: D006528:Carcinoma, Hepatocellular / Q000628:therapy*; D006498:Hepatectomy; D006801:Humans; D008113:Liver Neoplasms / Q000628:therapy*; D008297:Male; D008875:Middle Aged; D011379:Prognosis