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Prognostic factors in surgical resection for hepatocellular carcinoma

  • Chapter
Surgical Oncology

Part of the book series: Cancer Treatment and Research ((CTAR,volume 90))

Abstract

Although a variety of new treatment modalities for hepatocellular carcinoma (HCC) have been explored in the past few years, the fact remains that surgical resection provides the only chance for long-term survival in this aggressive disease. Five-year survival rates after curative surgery average 18-36%. In general, a resectable tumor must be (1) confined to the liver (absence of vascular invasion or distant metastases) and (2) entirely encompassed by local excision with an adequate margin. In order to be a candidate for resection, the patient must also have adequate liver reserve. Only 10-15% of patients with primary liver cancer meet these requirements. Unfortunately, the majority of these patients develop recurrence and do not benefit from further resection.

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Authors
  1. Barry J. Roseman
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  2. Mark S. Roh
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Editors and Affiliations

  1. M.D. Anderson Cancer Center, The University of Texas, Houston, Texas, USA

    Raphael E Pollock M.D., Ph.D.

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Roseman, B.J., Roh, M.S. (1997). Prognostic factors in surgical resection for hepatocellular carcinoma. In: Pollock, R.E. (eds) Surgical Oncology. Cancer Treatment and Research, vol 90. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-6165-1_17

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  • DOI: https://doi.org/10.1007/978-1-4615-6165-1_17

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