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oai:kumadai.repo.nii.ac.jp:00028177 2023-09-26T01:07:02Z 413:443

Evaluation of the mass forming intrahepatic cholangiocarcinoma with viral hepatitis 堀野, 敬 別府, 透 小森, 宏之 増田, 稔郎 林, 洋光 ハヤシ, ヒロミツ Hayashi, Hiromitsu 林 ハヤシ Hayashi 洋光 ヒロミツ Hiromitsu 岡部, 弘尚 Takamori, Hiroshi タカモリ, ヒロシ 高森, 啓史 Takamori タカモリ 高森 Hiroshi ヒロシ 啓史 馬場, 秀夫 Horino, Kei Beppu, Toru 小森, 宏之 コモリ, ヒロユキ Komori, Hiroyuki 小森 コモリ Komori 宏之 ヒロユキ Hiroyuki 増田, 稔郎 マスダ, トシロウ Masuda, Toshiro 増田 マスダ Masuda 稔郎 トシロウ Toshiro 林, 洋光 ハヤシ, ヒロミツ Hayashi, Hiromitsu 林 ハヤシ Hayashi 洋光 ヒロミツ Hiromitsu Okabe, Hirohisa Takamori, Hiroshi Baba, Hideo 493.4 liver neoplasm cholangiocarcinoma viral hepatitis application/pdf application/pdf application/pdf 論文(Article) Aim: The correlation between the mass-forming type of intrahepatic cholangiocarcinoma (ICC) and the infection of the hepatitis B virus and hepatitis C virus are poorly understood. In this study, the clinical features of 34 patients with the mass-forming type ICC were reviewed to evaluate prognostic determinants. Methodology: Between January 1997, and December 2007, 34 patients underwent surgical resection for the mass-forming type of ICC in Kumamoto University Hospital. The significance of 14 clinicopathological factors consisting of age, gender, CA19-9 levels, CEA levels, size, intrahepatic metastases, portal vein invasion, bile duct invasion,histological differentiation, lymph node involvement, type B or C hepatitis, lymph node dissection, Sirius Red score of the tumor and platelet count in peripheral blood were analyzed, with regard to prognostic aspect. Results: Univariate analysis showed that significant risk factors for poor survival included age ≧65 years, CEA levels ≧1.6ng/ml and pathological lymph node involvement. Multivariate analysis revealed that age, CEA levels and lymph node involvement were independent and significant poor prognostic factors. Conclusions: It was concluded that age, CEA levels and lymph node involvement were significantly poor prognostic factors. However, the infection with type B or C hepatitis was not a prognostic factor of the mass forming type ICC. Georg Thieme Verlag 2012-06 eng journal article AM http://hdl.handle.net/2298/29690 https://kumadai.repo.nii.ac.jp/records/28177 10.5754/hge09739 Hepato-Gastroenterology 59 116 1217 1219 https://kumadai.repo.nii.ac.jp/record/28177/files/MF ICC Table 2 HG.pdf application/pdf 6.5 kB 2020-03-03 https://kumadai.repo.nii.ac.jp/record/28177/files/MF ICC Table 1 HG.pdf application/pdf 46.9 kB 2020-03-03 https://kumadai.repo.nii.ac.jp/record/28177/files/MF_ICC_in_viral_hepatitis HG Final2.pdf application/pdf 44.0 kB 2020-03-03