Clinical outcomes of transarterial chemoembolization in Child-Turcotte Pugh class A patients with a single small (≤3 cm) hepatocellular carcinoma
DC Field | Value | Language |
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dc.contributor.author | Lee, Jungnam | - |
dc.contributor.author | Jin, Young-Joo | - |
dc.contributor.author | Shin, Seung Kak | - |
dc.contributor.author | Kwon, Jung Hyun | - |
dc.contributor.author | Kim, Sang Gyune | - |
dc.contributor.author | Yu, Jung Hwan | - |
dc.contributor.author | Lee, Jin-Woo | - |
dc.contributor.author | Kwon, Oh Sang | - |
dc.contributor.author | Nahm, Soon Woo | - |
dc.contributor.author | Kim, Young Seok | - |
dc.date.accessioned | 2024-06-11T08:30:47Z | - |
dc.date.available | 2024-06-11T08:30:47Z | - |
dc.date.issued | 2024-05 | - |
dc.identifier.issn | 0815-9319 | - |
dc.identifier.issn | 1440-1746 | - |
dc.identifier.uri | https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/26265 | - |
dc.description.abstract | Background and Aim: Transarterial chemoembolization (TACE) is one of the standard modalities used to treat unresectable hepatocellular carcinoma (HCC), but the effectiveness of TACE for treating patients with a solitary small (<= 3 cm) HCC and well-preserved liver function has not been definitively established. This study aimed to determine the therapeutic impact of TACE in patients with these characteristics. Methods: This multicenter (four university hospitals) retrospective cohort study analyzed the medical records of 250 patients with a solitary small (<= 3 cm) HCC and Child-Turcotte-Pugh (CTP) class A liver function diagnosed over 10 years. Posttreatment outcomes, including overall survival (OS), recurrence-free survival (RFS), and adverse events, were assessed following TACE therapy. Results: One hundred and thirty-eight of the 250 patients (55.2%) treated with TACE achieved complete remission (CR). Overall median OS was 77.7 months, and median OS was significantly longer in the CR group than in the non-CR group (89.1 vs. 58.8 months, P = 0.001). Median RFS was 19.1 months in the CR group. Subgroup analysis identified hypertension, an elevated serum albumin level, and achieving CR as significant positive predictors of OS, whereas diabetes, hepatitis c virus infection, and tumor size (>2 cm) were poor prognostic factors of OS. Conclusions: The study demonstrates the effectiveness of TACE as a viable alternative for treating solitary small (<= 3 cm) HCC in CTP class A patients. | - |
dc.language | 영어 | - |
dc.language.iso | ENG | - |
dc.publisher | WILEY | - |
dc.title | Clinical outcomes of transarterial chemoembolization in Child-Turcotte Pugh class A patients with a single small (≤3 cm) hepatocellular carcinoma | - |
dc.type | Article | - |
dc.publisher.location | 미국 | - |
dc.identifier.doi | 10.1111/jgh.16581 | - |
dc.identifier.scopusid | 2-s2.0-85192231837 | - |
dc.identifier.wosid | 001214555100001 | - |
dc.identifier.bibliographicCitation | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.citation.title | JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | - |
dc.type.docType | Article; Early Access | - |
dc.description.isOpenAccess | Y | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | Gastroenterology & Hepatology | - |
dc.relation.journalWebOfScienceCategory | Gastroenterology & Hepatology | - |
dc.subject.keywordPlus | RADIOFREQUENCY ABLATION | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | MANAGEMENT | - |
dc.subject.keywordPlus | CIRRHOSIS | - |
dc.subject.keywordAuthor | Child-Turcotte-Pugh | - |
dc.subject.keywordAuthor | hepatocellular carcinoma | - |
dc.subject.keywordAuthor | overall survival | - |
dc.subject.keywordAuthor | transarterial chemoembolization | - |
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