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Surgical resection for pulmonary metastasis from hepatocellular carcinoma: analysis of prognosis in relation to primary control

 Chang Young Lee  ;  Mi Kyung Bae  ;  In Kyu Par  ;  Dae Joon Kim  ;  Jin Gu Lee  ;  Jin Sub Choi  ;  Kwang-Hyub Han  ;  Kyung Young Chung 
 Journal of Surgical Oncology, Vol.101(3) : 239-243, 2010 
Journal Title
 Journal of Surgical Oncology 
Issue Date
Adult ; Aged ; Carcinoma, Hepatocellular/mortality ; Carcinoma, Hepatocellular/pathology* ; Female ; Humans ; Liver Neoplasms/mortality ; Liver Neoplasms/pathology* ; Lung Neoplasms/mortality ; Lung Neoplasms/secondary* ; Lung Neoplasms/surgery* ; Male ; Middle Aged ; Pneumonectomy* ; Prognosis
hepatoma ; pulmonary metastasectomy ; local therapy
BACKGROUND: Advances in local treatments for hepatocellular carcinoma (HCC) have seen better prognosis. There were few studies on surgery for pulmonary metastasis from HCC controlled by local treatment. This study was conducted to analyze prognostic factors after surgery for pulmonary metastasis from HCC. METHODS: We reviewed 32 patients who underwent surgery for pulmonary metastasis from HCC and analyzed prognostic factors. RESULTS: HCC was controlled by surgery in 16 patients and by local treatment in 16 patients at the time of pulmonary resection. The median survival time after pulmonary resection was significantly better for HCC controlled by surgery, disease-free time >or=12 months, TMN stage I-II, and T factor 1-2 of primary HCC. The median survival time was better for lesion <or=2 and Child-Pugh score A, but they were not significant (P = 0.053, 0.069). In multivariate analysis, HCC controlled by surgical treatment (P = 0.008), and lesion <or=2 (P = 0.030) were independent prognostic factors. CONCLUSION: Our Results indicated that surgical resection for pulmonary metastasis from HCC might be beneficial for patients whose HCC was controlled by surgery and the number of lesions was lower than 3.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dae Joon(김대준)
Park, In Kyu(박인규)
Bae, Mi Kyung(배미경)
Lee, Jin Gu(이진구)
Lee, Chang Young(이창영)
Chung, Kyung Young(정경영)
Choi, Jin Sub(최진섭)
Han, Kwang-Hyub(한광협) ORCID logo https://orcid.org/0000-0003-3960-6539
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