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Surgical Outcomes in Patients with Ruptured Hepatocellular Carcinoma
http://hdl.handle.net/10470/27128
http://hdl.handle.net/10470/2712801ff971b-135e-4387-ac7b-19e943d6c004
名前 / ファイル | ライセンス | アクション |
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KJ00006018104.pdf (605.3 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | Surgical Outcomes in Patients with Ruptured Hepatocellular Carcinoma | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | 破裂肝細胞癌切除症例の検討 | |||||
著者名 |
KATSURAGAWA, Hideo
× KATSURAGAWA, Hideo× YAMAMOTO, Masakazu× KATAGIRI, Satoshi× TAKASAKI, Ken |
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著者別名 | ||||||
姓名 | 桂川, 秀雄 | |||||
著者別名 | ||||||
姓名 | 山本, 雅一 | |||||
著者別名 | ||||||
姓名 | 片桐, 聡 | |||||
著者別名 | ||||||
姓名 | 高崎, 健 | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 76, 号 4, p. 168-172, 発行日 2006-04 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | [目的]肝細胞癌破裂は,腹腔内出血という緊急の病態を引き起こし,また癌細胞の播種の危険に曝され予後不良とされている.しかし実際の破裂切除例での術後経過が観察された報告は少ない.そこで破裂切除例の臨床病理像,術後経過を検討した.[方法]対象は1987~1995年の期間に切除された肝細胞癌612例中の破裂例23例である.その臨床像,病理像を検討した.手術所見での腹腔内出血の型から,I型:腹腔内に開放性に出血した型,II型:出血が周囲臓器および被膜に被包され限局した型,に分類した.[結果]破裂肝癌例は肉眼的血管侵襲,肝内転移が有意に多く,生存率は非破裂肝癌例が破裂例に比し良く,術後腹膜播種は破裂例に有意に多かった.破裂例の腹腔内出血の型別では,I型の生存期間が短かった.[結語]破裂肝癌切除例では,進展因子,術後腹膜播種は有意に多く予後は不良であった.破裂する肝癌例は生物学的に悪性度が高いことが想定され,それを念頭においた治療が必要である. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | Ruptured hepatocellular carcinoma (HCC) causes acute hemorrhage, and requires emergency procedures. The condition is therefore involves the risk of peritoneal dissemination and is associated with poor prognosis. There have been few reports concerning the outcome after ruptured HCC resection. Methods : We compared the outcomes in 23 patients with ruptured HCC clinicopathologically with those in 589 patients with non-ruptured HCC. Ruptured HCC cases were divided into two types according to the extent of bleeding, Type I : extended intraperitoneal bleeding, Type II : bleeding blocked by the surrounding organs. Results : Vascular invasion, and intrahepatic metastasis rate were significantly greater in the ruptured HCC group. The outcome of resection was poor in the Type I group, as opposed to in the Type II group. The cumulative survival rates were significantly better in the non-ruptured HCC group than in the ruptured HCC group. The rate of peritoneal dissemination after surgery was significantly higher in the ruptured HCC group than in the non-ruptured HCC group. Conclusion : The rate of vascular invasion, intrahepatic metastasis and peritoneal dissemination after surgery were significantly higher in the ruptured HCC group. We believe that the ruptured HCC group had high grade malignancy. And we have to treat ruptured HCC thinking that. | |||||
著者所属 | ||||||
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
東京女子医科大学消化器病センター消化器外科 | ||||||
著者所属 | ||||||
東京女子医科大学消化器病センター消化器外科 | ||||||
著者所属 | ||||||
東京女子医科大学消化器病センター消化器外科 | ||||||
著者所属 | ||||||
東京女子医科大学消化器病センター消化器外科 | ||||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | ruptured hepatocellular carcinoma | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | peritoneal dissemination | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | acute hemorrhage | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | intraperitoneal bleeding | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | emergency procedures |