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Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings
OBJECTIVE: The purpose of this study was to determine the utility of preoperative CT in predicting early recurrence of hepatocellular carcinoma after partial hepatic resection. MATERIALS AND METHODS: Preoperative three-phase helical CT scans in 53 patients with hepatocellular carcinoma were retrospe...
Autores principales: | , , , , , |
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Formato: | Texto |
Lenguaje: | English |
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The Korean Radiological Society
2000
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2718136/ https://www.ncbi.nlm.nih.gov/pubmed/11752927 http://dx.doi.org/10.3348/kjr.2000.1.1.38 |
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author | Lim, Jae Hoon Jang, Hyun-Jung Kim, Eung Yeop Park, Cheol Keun Joh, Jae-Won Kim, Yong Il |
author_facet | Lim, Jae Hoon Jang, Hyun-Jung Kim, Eung Yeop Park, Cheol Keun Joh, Jae-Won Kim, Yong Il |
author_sort | Lim, Jae Hoon |
collection | PubMed |
description | OBJECTIVE: The purpose of this study was to determine the utility of preoperative CT in predicting early recurrence of hepatocellular carcinoma after partial hepatic resection. MATERIALS AND METHODS: Preoperative three-phase helical CT scans in 53 patients with hepatocellular carcinoma were retrospectively reviewed by two radiologists. In 27 patients (group I), HCC had recurred within six months, while 26 (group II) had remained disease free for at least two years. In each group, preoperative CT findings were evaluated in each group for the tumor size and number, the presence or absence of capsule, distinctness of tumor margin, perinodular extension, and the presence or absence of portal vein thrombosis. RESULTS: In group I, a tumor capsule of tumor was seen in five of 27 patients (19%), and in group II, in 16 of 26 (62%) (p = .001). The tumor margin was distinct in eight patients (30%) in group I and in 20 (77%) in group II (p = .001). Multiple tumors, perinodular extension, and portal vein thrombosis were more frequently seen in group I but the differences were not statistically significant (p > .05). Tumor size was similar in each group (p > .05). CONCLUSION: Preoperative CT findings that may help predict the early recurrence of hepatocellular carcinoma after surgical resection are an absence of capsule of tumors and an indistinct margin. Reference to these findings during preoperative CT can guide clinicians in their choice of treatment. |
format | Text |
id | pubmed-2718136 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2000 |
publisher | The Korean Radiological Society |
record_format | MEDLINE/PubMed |
spelling | pubmed-27181362009-07-30 Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings Lim, Jae Hoon Jang, Hyun-Jung Kim, Eung Yeop Park, Cheol Keun Joh, Jae-Won Kim, Yong Il Korean J Radiol Original Article OBJECTIVE: The purpose of this study was to determine the utility of preoperative CT in predicting early recurrence of hepatocellular carcinoma after partial hepatic resection. MATERIALS AND METHODS: Preoperative three-phase helical CT scans in 53 patients with hepatocellular carcinoma were retrospectively reviewed by two radiologists. In 27 patients (group I), HCC had recurred within six months, while 26 (group II) had remained disease free for at least two years. In each group, preoperative CT findings were evaluated in each group for the tumor size and number, the presence or absence of capsule, distinctness of tumor margin, perinodular extension, and the presence or absence of portal vein thrombosis. RESULTS: In group I, a tumor capsule of tumor was seen in five of 27 patients (19%), and in group II, in 16 of 26 (62%) (p = .001). The tumor margin was distinct in eight patients (30%) in group I and in 20 (77%) in group II (p = .001). Multiple tumors, perinodular extension, and portal vein thrombosis were more frequently seen in group I but the differences were not statistically significant (p > .05). Tumor size was similar in each group (p > .05). CONCLUSION: Preoperative CT findings that may help predict the early recurrence of hepatocellular carcinoma after surgical resection are an absence of capsule of tumors and an indistinct margin. Reference to these findings during preoperative CT can guide clinicians in their choice of treatment. The Korean Radiological Society 2000 2000-03-31 /pmc/articles/PMC2718136/ /pubmed/11752927 http://dx.doi.org/10.3348/kjr.2000.1.1.38 Text en Copyright © 2000 The Korean Radiological Society http://creativecommons.org/licenses/by-nc/3.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Lim, Jae Hoon Jang, Hyun-Jung Kim, Eung Yeop Park, Cheol Keun Joh, Jae-Won Kim, Yong Il Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings |
title | Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings |
title_full | Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings |
title_fullStr | Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings |
title_full_unstemmed | Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings |
title_short | Early Recurring Hepatocellular Carcinoma after Partial Hepatic Resection: Preoperative CT Findings |
title_sort | early recurring hepatocellular carcinoma after partial hepatic resection: preoperative ct findings |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2718136/ https://www.ncbi.nlm.nih.gov/pubmed/11752927 http://dx.doi.org/10.3348/kjr.2000.1.1.38 |
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