Clinicopathologic evaluation of hepatocellular carcinoma with bile duct thrombi

Satoh, Seiji; Ikai, Iwao; Honda, Goro; Okabe, Hiroshi; Takeyama, Osamu; Yamamoto, Yūzō; Yamamoto, Naoki; Iimuro, Yuji; Sugiyama, Yasuyuki; Yamaoka, Yoshio

doi:10.1067/msy.2000.108659

Cited by 107 publications

(143 citation statements)

References 6 publications

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“…11 HCC with BDTT reportedly demonstrates pathological features such as a higher incidence of vascular invasion and less histological differentiation. 6,11,12 Our present results (Table 1) are consistent with these earlier findings.…”

Section: -8 Yeh Et Al Reported the Relationship Between The Pathogensupporting

confidence: 83%

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Hepatectomy for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus, Including Cases with Obstructive Jaundice

et al. 2016

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SynopsisHepatectomy should be considered for hepatocellular carcinoma with bile duct tumor thrombus.3 Abstract Purpose: The purpose of this study was to evaluate the short-and long-term outcomes of hepatectomy for hepatocellular carcinoma (HCC) with bile duct tumor thrombus (BDTT), including cases with obstructive jaundice. Methods:We reviewed 42 HCC patients with BDTT, including 6 patients who needed preoperative biliary drainage due to obstructive jaundice and 732 HCC patients without BDTT. We analyzed the impact of BDTT on the surgical outcomes and assessed the outcomes of hepatectomy for patients presenting with obstructive jaundice.

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Section: -8 Yeh Et Al Reported the Relationship Between The Pathogensupporting

confidence: 83%

“…[6][7][8] However, it is presently unclear whether or not surgical treatment is valid for HCC with BDTT that presents with obstructive jaundice because the short-and long-term outcomes of such cases are unknown. In addition, the optimal surgical approach for HCC patients with BDTT-whether or not to preserve the bile duct -is also unclear.…”

Section: Introductionmentioning

confidence: 99%

Hepatectomy for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus, Including Cases with Obstructive Jaundice

et al. 2016

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“…For patients with tumor emboli in the portal vein, the portal venous flow of the unaffected side should be temporarily interrupted during portal vein embolectomy not only for avoiding dissemination of tumor emboli [56] but also for avoiding bleeding. For patients with tumor emboli in the hepatic vein or vena cava, total vascular occlusion can be performed to ensure the removal of the whole tumor emboli [57, 58]. …”

Section: Treatmentmentioning

confidence: 99%

Guidelines for Diagnosis and Treatment of Primary Liver Cancer in China (2017 Edition)

Zhou¹,

Sun²,

Wang³

et al. 2018

Liver Cancer

499

449

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Background: Hepatocellular carcinoma (HCC) (about 85–90% of primary liver cancer) is particularly prevalent in China because of the high prevalence of chronic hepatitis B infection. HCC is the fourth most common malignancy and the third leading cause of tumor-related deaths in China. It poses a significant threat to the life and health of Chinese people. Summary: This guideline presents official recommendations of the National Health and Family Planning Commission of the People’s Republic of China on the surveillance, diagnosis, staging, and treatment of HCC occurring in China. The guideline was written by more than 50 experts in the field of HCC in China (including liver surgeons, medical oncologists, hepatologists, interventional radiologists, and diagnostic radiologists) on the basis of recent evidence and expert opinions, balance of benefits and harms, cost-benefit strategies, and other clinical considerations. Key Messages: The guideline presents the Chinese staging system, and recommendations regarding patients with HCC in China to ensure optimum patient outcomes.

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“…However, there was no direct connection between the thrombus and the lesions in the right side of the liver (type III according to Satoh's classification). 7 The bile duct was transected above the pancreas, and a hepaticojejunostomy with a Roux-en-Y loop was made for the bile duct reconstruction. Histologic analyses confirmed the intrahepatic lesions and bile duct thrombus as moderately differentiated HCC, and the wall of common bile duct was invaded by the tumor microscopically.…”

Section: Case Reportmentioning

confidence: 99%

Long-term Survival After Liver Transplant for Recurrent Hepatocellular Carcinoma With Bile Duct Tumor Thrombus: Case Report

Liu

Wang²

2012

Exp Clin Transplant

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Clinicopathologic evaluation of hepatocellular carcinoma with bile duct thrombi

Cited by 107 publications

References 6 publications

Hepatectomy for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus, Including Cases with Obstructive Jaundice

Hepatectomy for Hepatocellular Carcinoma with Bile Duct Tumor Thrombus, Including Cases with Obstructive Jaundice

Guidelines for Diagnosis and Treatment of Primary Liver Cancer in China (2017 Edition)

Long-term Survival After Liver Transplant for Recurrent Hepatocellular Carcinoma With Bile Duct Tumor Thrombus: Case Report

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