- The General Rules for the Study of Primary Liver Cancer
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Jae Young Jang, June Sung Lee, Hyung-Joon Kim, Jae-Jun Shim, Ji Hoon Kim, Bo Hyun Kim, Choon Hyuck Kwon, Seung Duk Lee, Hae Won Lee, Jung Hoon Kim, Woo Kyoung Jeong, Jin-Young Choi, Heung Kyu Ko, Dong Ho Lee, Haeryoung Kim, Baek-hui Kim, Sang Min Yoon, Soon Ho Um
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J Liver Cancer. 2017;17(1):19-44. Published online March 31, 2017
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DOI: https://doi.org/10.17998/jlc.17.1.19
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Abstract
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- The General Rules for the Study of Primary Liver Cancer was published in June 2001 as the first
edition. Since then, the 5th edition of the General Rules for the Study of Primary Liver Cancer
was published by the 17th Committee of the Korean Liver Cancer Association based on the
most recent data. The 5th edition of the General Rules for the Study of Primary Liver Cancer
ranged over numerous topics such as anatomy, medical assessment of the patients, staging
of hepatocellular carcinoma, description of the image findings, summary of hepatic resection,
description of the surgical specimens, liver transplantation, reporting the pathological findings,
pathological examinations of liver specimen, non-surgical treatment, radiotherapy, and
assessment of tumor response after non-surgical treatment of hepatocellular carcinoma. The 5th
General Rules for the Study of Primary Liver Cancer will not only become the basis of academic
development for liver cancer studies in Korea, but also serve as the primary form of national
liver cancer data accumulation based on standardized rules.
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Citations
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- Outcomes of Surgical Resection for Ruptured Hepatocellular Carcinoma
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Hae Won Lee, Chang-Sup Lim, Hyo-Sin Kim
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J Liver Cancer. 2017;17(1):54-59. Published online March 31, 2017
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DOI: https://doi.org/10.17998/jlc.17.1.54
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1,926
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27
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Abstract
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- Background/Aim
s: Many recent studies have shown excellent outcomes of surgical resection
for ruptured hepatocellular carcinoma (HCC). In addition, there are several reports suggesting
that a ruptured HCC did not increase the risk for peritoneal dissemination of a tumor after
surgical resection. However, the impact of HCC rupture on recurrence and patient survival has
not yet been clarified.
Methods The medical data of patients who underwent surgical resection for ruptured HCC
in our center between January 2011 and December 2015 were retrospectively reviewed. The
outcomes of the patients were investigated.
Results Among 128 patients who underwent surgical resection for HCC, 5 patients (3.9%) had
a ruptured HCC. All patients underwent elective operation in a stable condition. Transarterial
chemoembolization (TACE) was performed for achieving hemostasis in four patients except
one who achieved spontaneous hemostasis. Two patients had tumor recurrence and one
patient died due to HCC recurrence during the median follow-up duration of 28.3 months
(range, 24.3–62.3 months). One patient who developed late intrahepatic recurrence at 40.0
months after resection was managed well by means of radiofrequency ablation and TACE and
is now alive for 5 years without any evidence of viable tumor. However, the other patient who
showed early peritoneal seeding at 1.9 months after resection finally died despite aggressive
treatments.
Conclusions Rupture of HCC might result in peritoneal seeding of the tumor in the early
postoperative stage, which could lead to a poor result. Nonetheless, surgical resection may be
the best treatment option yielding good survival, even for a ruptured HCC.
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Citations
Citations to this article as recorded by
- Ruptured Massive Hepatocellular Carcinoma Cured by Transarterial Chemoembolization
Ji Eun Lee, Joong-Won Park, In Joon Lee, Bo Hyun Kim, Seoung Hoon Kim, Hyun Beom Kim Journal of Liver Cancer.2020; 20(2): 154. CrossRef
- Living Donor Liver Transplantation for Hepatocellular Carcinoma with Portal Vein Tumor Thrombus
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YoungRok Choi, Kwang-Woong Lee, Hae Won Lee, Nam-Joon Yi, Kyung-Suk Suh
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Journal of the Korean Liver Cancer Study Group. 2013;13(1):62-64. Published online February 28, 2013
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DOI: https://doi.org/10.17998/jlc.13.1.62
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Abstract
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- Malignant portal vein thrombosis is a contraindication to liver transplantation for hepatocellular carcinoma because of the high
risk of its recurrence and the poor patient survival. With a newly developed immunosuppressant and a chemotherapeutic agent,
however, living donor liver transplantation can be considered for a patient of hepatocellular carcinoma, showing a slow growth
rate and good response for transarterial chemoembolization. We report a HBV related liver cirrhosis patient with HCC and portal
vein tumor thrombus who underwent living donor liver transplantation and survived without recurrence of hepatocellular
carcinoma for 18 months in our center.
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