摘要
Abstract
To analyze post-surgical recurrence of hepatocellular carcinoma (HHC) according to pathologic findings, primary tumor andangiographic features of the recurrent tumor.Methods In this series, 100 cases of recurrent HCC were analyzed in following aspects: ( 1 ) size, tumor nodular numbers, gross andhistologic findings of the primary tumor; (2) post-surgical recurrent time; (3) size, tumor nodular numbers, blood supply, stainingproperty, and accumulation of lipiodol oil in the recurrent tumor. Following angiography, arterial chemoembolization was performed.Results In the primary tumor, single nodules were seen in 80 cases, multiple nodules in 16 cases and multiple fused nodules in 4 cas-es. All tumors were classified as: trabecular type, 65 cases; compact type, 12; sclerotic type, 2 cases; mixed type, 15 cases andcholangiocarcinoma type, 6 cases. 38 cases had incomplete or no capsule. Satellite tumor nodules were grossly identified during opera-tion in 33 cases, but were proven microscopically in 66 cases. Tumor thrombi of portal vein was noted in 18 cases during oeration, but85 cases in histopathological sections. The recurrent tumors were diagnosed post surgically within 6 months in 67 cases, 6 - 12 months in15 cases and after 12 months in 18 cases respectively. On angiography, 67 % recurrent tumors was rich in blood supply and with abun-dant accumulation of lipiodol after embolization.Conclusion The post-surgical recurrence rate of the HCC patients with massive size, incomplete or no capsule, satellite tumor nodulesand portal vein tumor thrombus was high. The patients shoud receive angiography in 1 - 2 months after surgery in order to detect earlyrecurrence and, if confirmed, the patients may be treated by transcatheter arterial chemoembolization关键词
肝癌/复发Key words
hepatocellular carcinoma/recurrence分类
医药卫生
