Clinical factors affecting prognosis of small hepatocellular carcinoma after hepatectomy
Chen, M.S.; Li, J.Q.; Li, G.H.
Zhonghua Zhong Liu Za Zhi 16(3): 225-227
1994
ISSN/ISBN: 0253-3766 PMID: 7956704 Document Number: 434254
One hundred and two patients with histologically diagnosed small hepatocellular carcinoma ( ltoreq 5cm HCC) underwent curative irregular hepatectomy zn our hospital from Nov. 1972 to Nov. 1992. The postoperative survival rates at 1, 3, 5 and 10 years were 93.9%, 75.3%, 52.8% and 44.6%, respectively. We analyzed the clinical factors using a Cox model and found that the clinical staging of HCC, gamma-GT, satellite tumor nodules, tumour capsule and postoperative recurrence have significant effect on the survival rate of patients. We conclude that early diagnosis of sub-clinical HCC, transarterial embolism after hepatectomy to reduce postoperative recurrence, and active treatment with operation and/or TAE after recurrence are effective methods to improve survival of HCC patients.