Single HCC between 2 and 5 cm: the grey zone - Hepatologist's perspective

被引：2
作者：
Kudo, Masatoshi [1 ]
Chung, Hobyung [1 ]
机构：
[1] Kinki Univ, Sch Med, Dept Gastroenterol & Hepatol, Osaka 589, Japan
来源：
JOURNAL OF HEPATO-BILIARY-PANCREATIC SCIENCES | 2010年 / 17卷 / 04期
关键词：
Hepatocellular carcinoma; Radiofrequency ablation; Surgery; Single HCC between 2 and 5 cm; HEPATOCELLULAR-CARCINOMA; LIVER-TRANSPLANTATION; MANAGEMENT; CIRRHOSIS; OUTCOMES; JAPAN;
D O I：
10.1007/s00534-009-0242-z
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Long term survival of single nodular hepatocellular carcinoma (HCC) measuring 2-5 cm in size treated with radiofrequency ablation (RFA) was compared between 157 HCCs treated with RFA and 89 HCCs treated by operation. The 5 year survival rate was not significantly different between RFA and operation. In addition, the 17th nationwide survey of the Liver Cancer Study Group of Japan clearly showed that 5 year survival rate in 858 HCCs measuring 2-5 cm in size treated with RFA was similar to that in 6,574 HCCs measuring 2-5 cm in size treated by operation. In conclusion, RFA achieves outcomes similar to those of operation for Child-Pugh A patients with HCCs measuring 2-5 cm in size.
引用
收藏
页码：434 / 437
页数：4
相关论文
共 8 条
[1]   Management of hepatoceullular carcinoma [J].
Bruix, J ;
Sherman, M .
HEPATOLOGY, 2005, 42 (05) :1208-1236
[2]   Clinical management of hepatocellular carcinoma.: Conclusions of the Barcelona-2000 EASL Conference [J].
Bruix, J ;
Sherman, M ;
Llovet, JM ;
Beaugrand, M ;
Lencioni, R ;
Burroughs, AK ;
Christensen, E ;
Pagliaro, L ;
Colombo, M ;
Rodés, J .
JOURNAL OF HEPATOLOGY, 2001, 35 (03) :421-430
[3]   Comparison of the outcomes between an anatomical subsegmentectomy and a non-anatomical minor hepatectomy for single hepatocellular carcinomas based on a Japanese nationwide survey [J].
Eguchi, Susumu ;
Kanematsu, Takashi ;
Arii, Shigeki ;
Okazaki, Masatoshi ;
Okita, Kiwarnu ;
Omata, Masao ;
Ikai, Iwao ;
Kudo, Masatoshi ;
Kojiro, Masamichi ;
Makuuchi, Masatoshi ;
Monden, Morito ;
Matsuyama, Yutaka ;
Nakanuma, Yasuni ;
Takayasu, Kenichi .
SURGERY, 2008, 143 (04) :469-475
[4]   Report of the 17th Nationwide Follow-up Survey of Primary Liver Cancer in Japan [J].
Ikai, Iwao ;
Arii, Shigeki ;
Okazaki, Masatoshi ;
Okita, Kiwamu ;
Omata, Masao ;
Kojiro, Masamichi ;
Takayasu, Kenichi ;
Nakanuma, Yasuni ;
Makuuchi, Masatoshi ;
Matsuyama, Yutaka ;
Monden, Morito ;
Kudo, Masatoshi .
HEPATOLOGY RESEARCH, 2007, 37 (09) :676-691
[5]  
Kudo M, 2007, ONCOLOGY, V72, pS2
[6]   Development of evidence-based clinical guidelines for the diagnosis and treatment of hepatocellular carcinoma in Japan [J].
Makuuchi, Masatoshi ;
Kokudo, Norihiro ;
Arii, Shigeki ;
Futagawa, Shunji ;
Kaneko, Shuichi ;
Kawasaki, Seiji ;
Matsuyama, Yutaka ;
Okazaki, Masatoshi ;
Okita, Kiwamu ;
Omata, Masao ;
Saida, Yukihisa ;
Takayama, Tadatoshi ;
Yamaoka, Yoshio .
HEPATOLOGY RESEARCH, 2008, 38 (01) :37-51
[7]   Liver transplantation for solitary hepatocellular carcinoma less than 3 cm in diameter in child a cirrhosis [J].
Poon, Ronnie T. P. .
DIGESTIVE DISEASES, 2007, 25 (04) :334-340
[8]   Outcomes of nontransplant potentially curative therapy for early-stage hepatocellular carcinoma in child-pugh stage a cirrhosis is comparable with liver transplantation [J].
Takahashi, Shunsuke ;
Kudo, Masatoshi ;
Chung, Hobyung ;
Inoue, Tatsuo ;
Nagashima, Miki ;
Kitai, Satoshi ;
Chie, Tatsumi ;
Yasunori, Minami ;
Kazuomi, Ueshima ;
Toyokazu, Fukunaga ;
Haji, Seiji .
DIGESTIVE DISEASES, 2007, 25 (04) :303-309
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