年齡因素對(duì)肝癌肝切除術(shù)患者長(zhǎng)期預(yù)后的影響-論文.pdf

年齡因素對(duì)肝癌肝切除術(shù)患者長(zhǎng)期預(yù)后的影響-論文.pdf

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1、理瘤醫(yī)學(xué)2014年5月第22卷第5期MODERNONCOLOGY,May.2014,VOL.22,NO.05.1123.BOJ,2004,23:3270—3281.[11]MillerJK,ShattuckDL,IngallaEQ,eta1.Suppressionofthenega—[10]StutzMA,ShattuckDL,LaedefichMB,eta1.LRIG1negativelytiveregulatorLRIG1contributestoErbB2overexpressioninbreastregulatestheoncogenicEGFrecepto

2、rmutantEGFRvlII[J].On—cancer[J].CancerRes,2008,68:8286—8294.cogene,2008,27:5741—5752.(編校:談靜)年齡因素對(duì)肝癌肝切除術(shù)患者長(zhǎng)期預(yù)后的影響苗潤(rùn)晨,許鑫森,陳偉,周延巖,萬(wàn)永,呂毅,劉昌Theefectofageonlong—-termprognosisofpatientswithhepatocellularcarcinoma(HCC)afterresectionsurgeryMiaoRunchen,XuXinsen,ChenWei,ZhouYanyan,WanYong,LvYi,L

3、iuChangDepartmentofHepatobiliarySurgery,TheFirstAffiliatedHospitalofMedicalCollege,Xi"anjiaotongUniversity,ShaanxiXi"an710061,China.【Abstract】Objective:AgeplaysanimportantroleontheprognosisofpatientswithHCCafterresectionsurgery.Whetherolderpatientsshouldreceiveresectionsurgeryremainsco

4、ntroversia1.Weaimtocomparetheclinicopathologi·calfeaturesandprognosesbetweenyoungerandolderpatientswithHCCundergoingresection.Methods:Theclinicalrecordsof172patientswithhepatocellularcarcinomaundergoingresectionsurgerywereanalyzedretrospectively,andthefollow—upofthesepatientswasperform

5、ed.Weinvestigatedthecorrelationbetweenthefactorofageandtheclini—copathologiealfeaturesorprognoses.Results:Theyoungerpatients(≤53)hadbetterliverfunctionalreservebutmoreaggressivetumorfactorsthantheolderpatients(>53).Afteramedianfollow—up0f31months,87patientsdied.Thecumulative5一yearsurvi

6、valrateswere55.43%inyoungerpatientsand48.31%intheolderpatients(P=0.026).Usingmultivariateanalysis,wedemonstratedthatagewasanindependentriskfactorassociatedwithoverallsurviva1.Besides,therewere76patientswhohadtumorrecurrenceaftersurgery.Usingmultivariateanalysis,wefailedtofindthattheinc

7、idenceoftumorrecurrenceinyoungerpatientswascomparabletothatintheolderpatients.Conclusion:AgeisariskfactortodeterminethesurvivalofpatientswithHCCwhounderwentresection.However,nocorelationwasobservedbetweenrecurrenceandage.【Keywords】age;hepatocellularcarcinoma;resectionsurgery;prognosi

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