| Mass-forming intrahepatic cholangiocarcinoma with marked enhancement on arterial-phase computed tomography reflects favorable surgical outcomes. | |
| | |
MedLine Citation:
|
PMID: 21448898 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND: Outcomes after hepatectomy in patients with mass-forming (MF) type intrahepatic cholangiocarcinoma (ICC) with marked enhancement within the tumor on arterial-phase computed tomography (CT) scans have not been clarified in detail. METHODS: We retrospectively studied 140 patients with MF type ICC who underwent hepatectomy from 1989 through 2008. Surgical outcomes were compared between 25 patients with MF type ICC with marked enhancement within the tumor (hypervascular ICC) and 109 patients without enhancement within the tumor (hypovascular ICC) on arterial-phase CT scans. RESULTS: Portal invasion and intrahepatic metastasis were significantly lower in patients with hypervascular ICC than in those with hypovascular ICC. The 5-year survival rate was significantly higher in patients with hypervascular ICC (86%) than in patients with hypovascular ICC (27%, P < 0.0001). Multivariate analysis showed hypervascular ICC on arterial-phase CT scans, normal level of cancer-associated carbohydrate antigen 19-9, absence of portal invasion, and absence of intrahepatic metastasis of ICC to be significant independent prognostic factors for overall survival in patients with MF type ICC. CONCLUSIONS: MF type ICC with marked enhancement within the tumor on arterial CT scans showed a favorable surgical outcome due to its less invasive histopathologic characteristics in patients with MF type ICC. J. Surg. Oncol. © 2011 Wiley-Liss, Inc. |
| | |
Authors:
|
Shun-Ichi Ariizumi; Yoshihito Kotera; Yutaka Takahashi; Satoshi Katagiri; I-Pei Chen; Takehiro Ota; Masakazu Yamamoto |
Related Documents
:
|
8915278 - Delineation of segmental liver anatomy. comparison of ultrasonography, spiral ct and mr... 11159098 - Unusual patterns of hepatic steatosis caused by the local effect of insulin revealed on... 16253658 - Liver and biliary system: evaluation by multidetector ct. 21156428 - Indocyanin green videoangiography study of hemangioblastomas. 12018668 - Osmotic demyelination syndrome after correction of chronic hyponatremia with normal sal... 17389508 - Three-dimensional angiography of classic and occult lesion types in choroidal neovascul... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2011-3-29 |
Journal Detail:
|
Title: Journal of surgical oncology Volume: - ISSN: 1096-9098 ISO Abbreviation: - Publication Date: 2011 Mar |
Date Detail:
|
Created Date: 2011-3-30 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 0222643 Medline TA: J Surg Oncol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2011 Wiley-Liss, Inc. |
Affiliation:
|
Department of Surgery, Institute of Gastroenterology, Tokyo Women's Medical University, Shinjuku-ku, Tokyo, Japan. ariizumi@ige.twmu.ac.jp. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: An analysis of the number of multiple prescribers for opioids utilizing data from the California Pre...
Next Document: The impact of amount of bone resection on uncemented prosthesis failure in patients with a distal fe...