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Association of tumor morphology with long-term prognosis after liver resection for patients with a solitary huge hepatocellular carcinoma-a multicenter propensity score matching analysis

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Hepatobiliary Surgery and Nutrition 2023年第3期12卷 314-327,I0006,I0007页

作者： Xin-Fei Xu Han Wu Ju-Dong Li Lan-Qing Yao Bin Huang Yong-Kang Diao Ting-Hao Chen Wei-Min Gu Zhong Chen Jie Li Yao-Ming Zhang Hong Wang Ying-Jian Liang Ya-Hao Zhou Chao Li Ming-Da Wang Cheng-Wu Zhang Timothy MPawlik Wan Yee Lau Feng Shen Tian Yang Department of Hepatobiliary Surgery Eastern Hepatobiliary Surgery HospitalNaval Medical University(Second Military Medical University)ShanghaiChina Department of General Surgery Changzheng HospitalNaval Medical University(Second Military Medical University)ShanghaiChina Department of Radiology Eastern Hepatobiliary Surgery HospitalNaval Medical University(Second Military Medical University)ShanghaiChina Division of Hepatobiliary and Pancreatic Surgery Department of General SurgeryCancer CenterZhejiang Provincial People’s HospitalPeople’s Hospital of Hangzhou Medical CollegeHangzhouChina Department of General Surgery Ziyang First People’s HospitalZiyangChina The First Department of General Surgery the Fourth Hospital of HarbinHarbinChina Department of Hepatobiliary Surgery Affiliated Hospital of Nantong UniversityNantongChina Department of Hepatobiliary Surgery Fuyang People’s HospitalFuyangChina The Second Department of Hepatobiliary Surgery Meizhou People’s HospitalMeizhouChina Department of General Surgery Liuyang People’s HospitalChangshaChina Department of Hepatobiliary Surgery the First Affiliated Hospital of Harbin Medical UniversityHarbinChina Department of Hepatobiliary Surgery Pu’er People’s HospitalPu’erChina Department of Surgery Ohio State UniversityWexner Medical CenterColumbusOHUSA Faculty of Medicine the Chinese University of Hong KongHong KongChina

Background:A solitary hepatocellular carcinoma(HCC)without macrovascular invasion and distant metastasis,regardless of tumor size,is currently classified as early-stage disease by the latest Barcelona Clinic Liver Cancer(BCLC)staging *** the preferred treatment is surgical resection,the association of tumor morphology with long-term survival outcomes after liver resection for a solitary huge HCC of≥10 cm has not been ***:Patients who underwent curative liver resection for a solitary huge HCC were identified from a multicenter *** imaging findings were used to define spherical-or ellipsoidal-shaped lesions with smooth edges as balloon-shaped HCCs(BS-HCCs);out-of-shape lesions or lesions of any shape with matt edges were defined as non-balloon-shaped HCCs(NBS-HCCs).The two groups of patients with BS-HCCs and NBS-HCCs were matched in a 1:1 ratio using propensity score matching(PSM).Clinicopathologic characteristics,long-term overall survival(OS)and recurrence-free survival(RFS)were ***:Among patients with a solitary huge HCC,74 pairs of patients with BS-HCC and NBS-HCC were *** pathological features including proportions of microvascular invasion,satellite nodules,and incomplete tumor encapsulation in the BS-HCC group were lower than the NBS-HCC *** a median follow-up of 50.7 months,median OS and RFS of all patients with a solitary huge HCC after PSM were 27.8 and 10.1 months,*** BS-HCC group had better median OS and RFS than the NBS-HCC group(31.9 vs.21.0 months,P=0.01;and 19.7 vs.6.4 months,P=0.015).Multivariate analyses identified BS-HCC as independently associated with better OS(HR=0.592,P=0.009)and RFS(HR=0.633,P=0.013).Conclusions:For a solitary huge HCC,preoperative imaging on tumor morphology was associated with prognosis following *** particular,patients with BS-HCCs had better long-term survival following liver resection versus patients with large NBS-HCCs.

关键词： Hepatocellular carcinoma(HCC) survival recurrence tumor morphology hepatectomy

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Upper gastrointestinal carcinoid tumors incidentally found by endoscopic examinations

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World Journal of Gastroenterology 2005年第44期11卷 7028-7032页

作者： Tsung-Hui Hu Chung-Mou Kuo King-Wah Chiu Chung-Huang Kuo Keng-Liang Wu Yeh-Pin Chou Sheng-Nan Lu Shue-Shian Chiou Chi-Sin Changchien Hock-Liew Eng Department of Hepato-Gastroenterology Chang Gung Memorial Hospital 123 Ta-Pei Road Niao-sung Hsiang Kaohsiung HsienTaiwan China Department of Pathology Chang Gung Memorial Hospital 123 Ta-Pei Road Niao-sung Hsiang Kaohsiung HsienTaiwan China

AIM: This study shares Asian clinical experiences of carcinoid tumors that originated in the upper gastrointestinal ***: From May 1987 to June 2002, we had found only 13 cases of histologically confirmed carcinoid tumors in the upper gastrointestinal tract by endoscopic examinations. There were eight males and five *** mean age was 53.16±20.51 years that ranged from 26 to 82 years. Each of their clinical presentations,locations, tumor morphology, and size and the treatment outcome were analyzed and ***: One patient had a polypoid lesion at the lower esophagus, nine were stomach lesions and three located at the duodenum. All patients with polypoid and submucosal tumor types were of small size (＜1.7 cm) and all patients survived after simple excision or *** of the five patients in tumor mass forms died and the tumors were more than 2.0 cm in ***: Carcinoid tumors rarely originated from the upper gastrointestinal tract and are usually found accidentally after endoscopic study. Bigger size (more than 2 cm) tumor masses may indicate a more severe disease and poor prognosis.

关键词： Upper gastrointestinal carcinoid tumors tumor morphology Sizes Treatment courses Prognosis

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