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2019
DOI: 10.1002/jso.25671
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Discordance in prediction of prognosis among patients with intrahepatic cholangiocarcinoma: A preoperative vs postoperative perspective

Abstract: Background The objective of the current study was to characterize patients with intrahepatic cholangiocarcinoma (ICC) undergoing curative‐intent surgery with discordant preoperative and postoperative prediction scores and determine factors associated with prediction discrepancy. Methods Patients who underwent hepatectomy for ICC between 1990 and 2016 were identified in a multi‐institutional international database. Preoperative and postoperative prognostic models were designed and discordant prognostic scores w… Show more

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Cited by 9 publications
(5 citation statements)
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“…The dominant risk factors for the pathogenesis of ICC consist of cirrhosis, chronic hepatitis B and C, alcohol use, diabetes, or even obesity [ 3 ]. The early combination of different treatment modalities has been proposed to be beneficial for aggressive variants of ICC [ 4 ]. However, the longer the time of diagnosis is delayed, the more likely the ICC lesion will undergo a loco-regional extension around the adjacent normal tissues, thus resulting in a poor prognosis [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…The dominant risk factors for the pathogenesis of ICC consist of cirrhosis, chronic hepatitis B and C, alcohol use, diabetes, or even obesity [ 3 ]. The early combination of different treatment modalities has been proposed to be beneficial for aggressive variants of ICC [ 4 ]. However, the longer the time of diagnosis is delayed, the more likely the ICC lesion will undergo a loco-regional extension around the adjacent normal tissues, thus resulting in a poor prognosis [ 5 ].…”
Section: Introductionmentioning
confidence: 99%
“…22 , 67 The majority of relevant studies report that more than 30% patients receive systemic chemotherapy. 18 , 20 , 26 , 28 , 33 , 40 Owing to a lack of RCT results, chemotherapy regimens vary among centers, and include gemcitabine, 5-fluorouracil, capecitabine, S-1, oxaliplatine, and cisplatine, etc. 28 , 68 72 The most common regimens include gemcitabine and 5-fluorouracil.…”
Section: Systemic Chemotherapymentioning
confidence: 99%
“…The dominant risk factors for the pathogenesis of ICC consist of cirrhosis, chronic hepatitis B and C, alcohol use, diabetes, or even obesity [3]. The early combination of different treatment modalities has been proposed to be bene cial for aggressive variants of ICC [4]. However, the longer the time of diagnosis is delayed, the more likely the ICC lesion will undergo a loco-regional extension around the adjacent normal tissues, thus resulting in a poor prognosis [5].…”
Section: Introductionmentioning
confidence: 99%