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Anticancer Res ; 23(5b): 4191-6, 2003.
Artículo en Inglés | MEDLINE | ID: mdl-14666624

RESUMEN

To clarify the cumulative recurrence-free interval and survival rate with hepatitis C virus (HCV)-related single, small hepatocellular carcinoma (HCC), we studied 32 patients with surgical resection, 61 with ablation therapy and 28 with transcatheter chemoembolization (TACE). A log-rank test revealed that there were no significant differences in the recurrence-free interval (p = 0.08) and survival (p = 0.279) between the resection and the ablation groups. Univariate analysis using the Cox proportional hazards regression model showed initial treatment (p = 0.0051) was associated with recurrence-free interval. Platelet count (p = 0.009), indocianine green retention rate at 15 minutes (p = 0.003), Child-Pugh classification (p = 0.001), serum albumin level (p = 0.0012) and serum total bililubin (p = 0.015) were associated with survival. Hence patients with HCV-related single, small HCC should be treated according to their hepatic reserve.


Asunto(s)
Carcinoma Hepatocelular/terapia , Carcinoma Hepatocelular/virología , Hepacivirus , Hepatitis C/complicaciones , Neoplasias Hepáticas/terapia , Neoplasias Hepáticas/virología , Anciano , Anciano de 80 o más Años , Carcinoma Hepatocelular/cirugía , Ablación por Catéter , Quimioembolización Terapéutica , Supervivencia sin Enfermedad , Femenino , Humanos , Neoplasias Hepáticas/cirugía , Masculino , Persona de Mediana Edad , Modelos de Riesgos Proporcionales , Estudios Retrospectivos , Factores de Riesgo , Resultado del Tratamiento
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