2026-03-08T23:37:05Z https://kumadai.repo.nii.ac.jp/oai

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 128424 別府, 透 128425 小森, 宏之 128426 増田, 稔郎 128427 林, 洋光 128633 ハヤシ, ヒロミツ Hayashi, Hiromitsu 岡部, 弘尚 128429 Takamori, Hiroshi 128637 タカモリ, ヒロシ 高森, 啓史 馬場, 秀夫 128431 Horino, Kei 128408 Beppu, Toru 128409 小森, 宏之 92296 コモリ, ヒロユキ Komori, Hiroyuki 増田, 稔郎 166648 マスダ, トシロウ Masuda, Toshiro 林, 洋光 128633 ハヤシ, ヒロミツ Hayashi, Hiromitsu Okabe, Hirohisa 128413 Takamori, Hiroshi 128414 Baba, Hideo 128415 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. journal article Georg Thieme Verlag 2012-06 AM application/pdf application/pdf application/pdf Hepato-Gastroenterology 116 59 1217 1219 https://kumadai.repo.nii.ac.jp/record/28177/files/MF ICC Table 2 HG.pdf https://kumadai.repo.nii.ac.jp/record/28177/files/MF ICC Table 1 HG.pdf https://kumadai.repo.nii.ac.jp/record/28177/files/MF_ICC_in_viral_hepatitis HG Final2.pdf http://hdl.handle.net/2298/29690 https://kumadai.repo.nii.ac.jp/records/28177 eng