Background: Gastrointestinal tract perforations can occur for various causes that require an early recognition and, often, a surgical treatment. The goal of this study is to evaluate the management and outcome of perforated viscus in patients with liver cirrhosis.
Background: Gastrointestinal tract perforations can occur for various causes that require an early recognition and, often, a surgical treatment. The goal of this study is to evaluate the management and outcome of perforated viscus in patients with liver cirrhosis.
Introduction: This is a population-based report concerning hepatocellular carcinoma (HCC) in Sweden. A national register (SweLiv) has so far registered > 2400 HCC cases since 2009. The estimated coverage in comparison with that mandatory swedish cancer registry is >95%. Method: 5 year relative survival data for HCC in Sweden 2009e2014 is shown with confidence interval depending on stage and treatment. Stage and treatment specific recurrence rates are presented. Results: Associated liver disease was found among 70%. There is a male dominance (3:1). The relative 5-year survival rate was 24%, equal between gender. The relative 5year survival rate correlate to T-status. The most common underlying liver disease was Hepatitis C (28%). In patients with associated liver disease, median tumor diameter was 40 mm compared to 80 mm without associated liver disease. Treatments aiming for cure were planned for 29%. The relative 5-year survival rate was 74% after transplantation (n = 172), 51% after resection (n = 334) and 37% after ablation (n = 307). Conclusion: Active treatment correlate to survival and increased use of curative treatment options might increase survival. At the meeting recurrence rate depending on treatment and stage will be presented. This analysis will be of interest analysing potential benefits of extending curative treatment options above BCLC guidelines and Milan criteria.
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