Abstract
To determine the optimal surgical therapy for patients with pedunculated hepatocellular carcinoma (HC), we evaluated findings in ten patients with pedunculated HC among 350 patients with HC who underwent hepatectomy from 1975 to 1991 at Kyushu University Hospital. These patients were classified into three groups: Group I (n = 4) Pedunculated HC with no intrahepatic HC, Group II (n = 2) Pedunculated HC with a single intrahepatic HC, and Group III (n = 4) Pedunculated HC with multiple intrahepatic HC. Patients in group I and II were treated by partial hepatic resections or subsegmentectomies. In two patients there was an intrahepatic recurrence in the same lobe, after radical resection. All patients in group III who underwent palliative resection died within 8 months after surgery. Retrospectively, we favour the view that patients in Groups I or II may have had a better prognosis if lobectomy rather than partial hepatectomies had been done.
Full text
PDF
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Anthony P. P., James K. Pedunculated hepatocellular carcinoma. Is it an entity? Histopathology. 1987 Apr;11(4):403–414. doi: 10.1111/j.1365-2559.1987.tb02645.x. [DOI] [PubMed] [Google Scholar]
- Cunningham P. L., Nava H., Lopez C., Douglass H. O., Jr Pedunculated primary hepatocellular carcinoma. J Surg Oncol. 1984 Dec;27(4):260–267. doi: 10.1002/jso.2930270414. [DOI] [PubMed] [Google Scholar]
- EDMONDSON H. A., STEINER P. E. Primary carcinoma of the liver: a study of 100 cases among 48,900 necropsies. Cancer. 1954 May;7(3):462–503. doi: 10.1002/1097-0142(195405)7:3<462::aid-cncr2820070308>3.0.co;2-e. [DOI] [PubMed] [Google Scholar]
- Horie Y., Katoh S., Yoshida H., Imaoka T., Suou T., Hirayama C. Pedunculated hepatocellular carcinoma. Report of three cases and review of literature. Cancer. 1983 Feb 15;51(4):746–751. doi: 10.1002/1097-0142(19830215)51:4<746::aid-cncr2820510433>3.0.co;2-#. [DOI] [PubMed] [Google Scholar]
- Kanematsu T., Furuta T., Takenaka K., Matsumata T., Yoshida Y., Nishizaki T., Hasuo K., Sugimachi K. A 5-year experience of lipiodolization: selective regional chemotherapy for 200 patients with hepatocellular carcinoma. Hepatology. 1989 Jul;10(1):98–102. doi: 10.1002/hep.1840100119. [DOI] [PubMed] [Google Scholar]
- Kanematsu T., Matsumata T., Takenaka K., Yoshida Y., Higashi H., Sugimachi K. Clinical management of recurrent hepatocellular carcinoma after primary resection. Br J Surg. 1988 Mar;75(3):203–206. doi: 10.1002/bjs.1800750305. [DOI] [PubMed] [Google Scholar]
- Moritz M. W., Shoji M., Sicard G. A., Shioda R., DeSchryver K. Surgical therapy in two patients with pedunculated hepatocellular carcinoma. Arch Surg. 1988 Jun;123(6):772–774. doi: 10.1001/archsurg.1988.01400300118021. [DOI] [PubMed] [Google Scholar]
- Nagao T., Inoue S., Yoshimi F., Sodeyama M., Omori Y., Mizuta T., Kawano N., Morioka Y. Postoperative recurrence of hepatocellular carcinoma. Ann Surg. 1990 Jan;211(1):28–33. doi: 10.1097/00000658-199001000-00005. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Nobusawa S., Saito S., Sunakawa T., Yoshida M., Nishizaki M., Oda H., Nasu M., Saito K. Pedunculated hepatoma--report of two cases and review of the literature. Gastroenterol Jpn. 1984 Oct;19(5):464–471. doi: 10.1007/BF02807259. [DOI] [PubMed] [Google Scholar]
- Sonoda T., Kanematsu T., Takenaka K., Sugimachi K. Ruptured hepatocellular carcinoma evokes risk of implanted metastases. J Surg Oncol. 1989 Jul;41(3):183–186. doi: 10.1002/jso.2930410310. [DOI] [PubMed] [Google Scholar]
- Talerman A., Haije W. G. Alpha-fetoprotein and germ cell tumors: a possible role of yolk sac tumor in production of alpha-fetoprotein. Cancer. 1974 Nov;34(5):1722–1726. doi: 10.1002/1097-0142(197411)34:5<1722::aid-cncr2820340521>3.0.co;2-f. [DOI] [PubMed] [Google Scholar]