Review of 336 patients with hepatocellular carcinoma at Songklanagarind Hospital

Pasiri Sithinamsuwan
2000 World Journal of Gastroenterology  
AIM To determine the clinical presentations, survival and prognostic factors of hepatocellular carcinoma (HCC) in Southern Thailand. METHODS Retrospective analysis was performed on the 336 hepatoc ellular carcinoma patients treated at Songklanagarind hospital between 1 January 1991 and 31 January 1999. RESULTS Of these 336 patients, 276 were males and 60 were females. The mean age was 54.4 years. The common symptoms and signs were abdominal pain and hepatomegaly. The most common presentation of
more » ... mon presentation of tumor was a dominant mass with daughter nodules. Portal vein involvement was found in 50% of total. Extra hepatic metastasis was found in 13%, and the lung was the most common site. There were 65.4% with evidence of cirrhosis and half of them were in Child's class B. HBsAg was positive in 72.6%. Regarding Okuda's tumor staging, 15%, 61% and 24% were stage I, II and III, respectively. Overall median survival was 2.
doi:10.3748/wjg.v6.i3.339 fatcat:czzfsovcdrg2zgxc2odicu2lkq