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Analysis of prognostic factors in primary hepatocellular carcinoma treated with transcatheter arterial embolization and Ⅱ-stage hepatectomy

Wang Nan.Department of Radiology,Tongji Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,P.R.China  
Objective:To study the prognostic factors in primary hepatocellular carcinoma (PHC) treated with transcatheter arterial chemoembolization (TACE) and Ⅱ stage hepatectomy.Methods:53 patients with PHC,treated with TACE and Ⅱ stage hepatectomy from 1991 to 1999,were included.9 factors were chosen in this study,using Cox proportional hazard model.Results:The most significant factors were clinical staging,histopathology type,liver function before operation,tumor configuration,number of TACE,the last one was closely related to the prognosis,while others had no relation with it.Conclusion:There are many prognostic factors in PHC with different treatment,ture influence are different.When the patients are treated with TACE and Ⅱ stage hepatectomy,the histopathology type,liver function before operation,tumor configuration are important to the prognosis.And now,some special factors as society and mentality should be paid attention to.
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