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논문 기본 정보

자료유형
학술저널
저자정보
Ji Soo Lee (Sungkyunkwan University School of Medicine) Jong Man Kim (Sungkyunkwan University School of Medicine) Seunghwan Lee (Sungkyunkwan University School of Medicine) Jin-Yong Choi (Sungkyunkwan University School of Medicine) Wontae Cho (Sungkyunkwan University School of Medicine) Gyu-Seoung Choi (Sungkyunkwan University School of Medicine) Jae Berm Park (Sungkyunkwan University School of Medicine) Choon Hyuck David Kwon (Sungkyunkwan University School of Medicine) Sung Joo Kim (Sungkyunkwan University School of Medicine) Jae-Won Joh (Sungkyunkwan University School of Medicine)
저널정보
한국간담췌외과학회 Annals of Hepato-Biliary-Pancreatic Surgery 한국간담췌외과학회지 제19권 제4호
발행연도
2015.11
수록면
154 - 160 (7page)

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Backgrounds/Aims: Hepatocellular carcinoma (HCC) is uncommon in young adults and the prognosis of these patients is still unclear. In this retrospective study, we compared the clinicopathological characteristics and outcomes of young patients with HCC with those of older patients with HCC. Methods: We retrospectively reviewed the clinicopathological characteristics of a total of 1,124 patients with HCC who underwent hepatectomy at our institution between 2006 and 2010. Patients ≤40 years of age at the time of HCC diagnosis were classified in the younger group. Results: One hundred and three patients (9.2%) were classified in the younger group. whereas, 1021 patients were classified in the older group. The incidences of hepatitis B virus infection, alpha-fetoprotein (AFP) levels, and indocyanine green retention test were all higher in younger patients than in older patients (p<0.05). Disease-free survival and overall survival were longer in older patients than in younger patients, without statistical significance. In younger patients, increased levels of protein induced by vitamin K antagonist-II (PIVKA-II) and alkaline phosphatase, portal vein tumor thrombosis, and intrahepatic metastasis were all predisposing factors for tumor recurrence after hepatectomy. Conclusions: Although the AFP levels were higher in younger patients with HCC than in older patients with HCC, disease-free survival and overall survival after liver resection were not significantly different between the two groups.

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INTRODUCTION
MATERIALS AND METHODS
RESULTS
DISCUSSION
REFERENCES

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UCI(KEPA) : I410-ECN-0101-2016-514-002160672