Brief Article
Copyright ©2011 Baishideng Publishing Group Co.
World J Gastroenterol. Nov 21, 2011; 17(43): 4817-4824
Published online Nov 21, 2011. doi: 10.3748/wjg.v17.i43.4817
Table 1 Clinicopathologic characteristics of six cases of small hepatocellular carcinoma at the initial diagnosis
Case 1Case 2Case 3Case 4Case 5Case 6
Sex/age (yr)M/35M/57M/45M/50M/38M/41
Chief complaintEpigastric painAsymptomaticAsymptomaticEpigastric painAsymptomaticEpigastric pain
Liver cirrhosis+++++-
AFP (ng/mL)203.525283226.1578.3725.3
sHCC location/sizeVIII/2.7 cmV/2.0 cmVI/1.5 cmIV/2.0 cmV/1.6 cmVI/2.6 cm
TreatmentPartial segments V and VIII resectionPartial segment V resectionRFLeft lobectomyPartial segment V resectionSegments VI and VII resection
Resection stateR1R1Ablative margin less than 5 mmR1R1R1
Histologic differentiationModerateModerateModeratePoorPoorPoor
Vascular infiltration----+
Tumor microsatellites-----
Bile duct or canaliculus invasion-----
Capsule presence-+++-
Table 2 Summary of clinical characteristics of bile duct tumor thrombus occurrence after treatment of small hepatocellular carcinoma
Case 1Case 2Case 3Case 4Case 5Case 6
Interval16 mo47 mo76 mo5 mo8 mo9 mo
Chief complaintJaundiceJaundiceJaundiceJaundice and epigastric painJaundiceJaundice
TBil/DBil (μmol/L)47.1/28.8365.0/283.3286.0/206.535.7/27.3146.0/87.2480.0/360.3
AFP (ng/mL)1.3223.56.7251.6148.5546
Recurrent tumor location/sizeVIII/2.0 cm-VI/3.2 cmV, VIII/5.2 cmVI/2.8 cm-
TreatmentHepatic resection and BDTT removalBDTT removalHepatic resection and BDTT removalHepatic resection and BDTT removalHepatic resection and BDTT removalPTCD and TACE
Resection stateR1R1R1R0
Histologic differentiationModeratePoorPoorPoorPoor
Vascular infiltration-+++
Capsule presence----
Survival/prognosis13 mo/dead4 mo/dead19 mo/dead14 mo/dead10 mo/dead6 mo/dead