[Abstract] [Full Text PDF] (in Japanese / 6705KB) [Members Only And Two Factor Auth.]

J.Jpn. Surg. Soc.. 89(7): 1028-1039, 1988


Original article

CLINICOPATHOLOGICAL EVALUATIN OF ANGIOGRAMS IN HEPATOCELLULAR CARCINOMA

First Department of Surgery, Faculty of Medicine, Kyoto University, Kyoto, Japan

Souhei Minematsu, Tomohiko Tani

Hepatocellular carcinoma (HCC) was classified into the three types of expansive type "Exp", mixed type "Mix" and infiltrative type "Inf" according to the preoperative angiographic characteristics, referred to clinicopathological features. "Exp" type had less incidence of accompanied portal venous invasion and daughter nodules in comparison to "Inf" type. And "Exp" type had a better prognosis in the cumulative survival rate than "Inf" type (p<0.001) Thus, the present typing essentially classified by tumor vascular architecture represents "malignancy grade" of HCC. In addition, "Inf" type may be recommended more extensive resection or multidisciplinary therapy (for example TAE) for better prognosis.


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