Main Characteristics of Hepatocellular Carcinoma and Cirrhosis and Therapeutic Approaches
Authors: Elba, S.; Buongiorno, G.P.; Caruso, M.L.; Noviello, M.R.; Manghisi, O.G.
Source: Current Pharmaceutical Design, Volume 8, Number 11, 1 May 2002 , pp. 1007-1011(5)
Publisher: Bentham Science Publishers
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Abstract:
Between 1995 and 1997 we studied 100 patients with hepatocarcinoma (HCC) and cirrhosis. Of these 74 were males and 26 females with a mean age of 66 years. 13% patients were only HbsAg positive, 75% only anti-HCV positive, 6% HbsAg and anti-HCV and the etiology in 6% of cases was alcoholic. Alpha-foetoprotein was >400ng / ml in only 18% of cases and portal thrombosis was present in 12%. Mononodular HCC was observed in 63% of cases (small HCC in only 38%) and in 79% was localized to the right lobe. Of the mononodular types, 70% were shown by echography to be hypoechoic, 6% hysoechoic, 6% hyperechoic and 17% mixed patterns. Histologically, 49% were well-differentiated, 45% moderately-differentiated and 6%poorly-differentiated. No correlation was found between histologic pattern and number of nodules. Welldifferentiated HCC was found in 51% of mononodular types and in 46% of multinodular types. Moderatelydifferentiated HCC was detected in 46% and 43% respectively and poorly-differentiated HCC in 3% and 11%respectively. No correlation was found between number of nodules and the degree of Edmonson.Keywords: cirrhosis; hepatocarcinoma; absag; alpha; foetoprotein; portal; thrombosis; nodular hcc; echoic
Document Type: Review article
DOI: 10.2174/1381612024607027
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