Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence
Abstract Background Intrahepatic cholangiocarcinoma (ICC) is a relatively rare subtype of cholangiocarcinoma. The study herein gathered experience of surgical treatment for ICC, and aimed to analyze the prognosis of patients who had received curative-intent liver resection. Methods A total of 216 pa...
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| Format: | Article |
| Language: | English |
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BMC
2018-12-01
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| Series: | BMC Gastroenterology |
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| Online Access: | http://link.springer.com/article/10.1186/s12876-018-0912-x |
| _version_ | 1828791808441712640 |
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| author | Kun-Ming Chan Chun-Yi Tsai Chun-Nan Yeh Ta-Sen Yeh Wei-Chen Lee Yi-Yin Jan Miin-Fu Chen |
| author_facet | Kun-Ming Chan Chun-Yi Tsai Chun-Nan Yeh Ta-Sen Yeh Wei-Chen Lee Yi-Yin Jan Miin-Fu Chen |
| author_sort | Kun-Ming Chan |
| collection | DOAJ |
| description | Abstract Background Intrahepatic cholangiocarcinoma (ICC) is a relatively rare subtype of cholangiocarcinoma. The study herein gathered experience of surgical treatment for ICC, and aimed to analyze the prognosis of patients who had received curative-intent liver resection. Methods A total of 216 patients who had undergone curative-intent liver resection for ICC between January 1977 and December 2014 was retrospectively reviewed. Results Overall, the rates of 5-years recurrence-free survival (RFS) and overall survival (OS) were 26.1 and 33.9% respectively. Based on multivariate analysis, four independent adverse prognostic factors including morphology patterns, maximum tumor size > 5 cm, pathological lymph node involvement, and vascular invasion were identified as affecting RFS after curative-intent liver resection for ICC. Among patients with cholangiocarcinoma recurrence, only 27 (16.9%) were able to receive surgical resection for recurrent cholangiocarcinoma that had a significantly better outcome than the remaining patients. Conclusion Despite curative resection, the general outcome of patients with ICC is still unsatisfactory because of a high incidence of cholangiocarcinoma recurrence after operation. Tumor factors associated with cholangiocarcinoma remain crucial for the prognosis of patients with ICC after curative liver resection. Moreover, aggressive attitude toward repeat resection for the postoperative recurrent cholangiocarcinoma could provide a favorable outcome for patients. |
| first_indexed | 2024-12-12T02:57:16Z |
| format | Article |
| id | doaj.art-0b96f43a72934c3aa238f1aaf66201b6 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-12-12T02:57:16Z |
| publishDate | 2018-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-0b96f43a72934c3aa238f1aaf66201b62022-12-22T00:40:42ZengBMCBMC Gastroenterology1471-230X2018-12-011811810.1186/s12876-018-0912-xCharacterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrenceKun-Ming Chan0Chun-Yi Tsai1Chun-Nan Yeh2Ta-Sen Yeh3Wei-Chen Lee4Yi-Yin Jan5Miin-Fu Chen6Department of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineDepartment of General Surgery, Chang Gung Memorial Hospital at Linkou, Chang Gung University College of MedicineAbstract Background Intrahepatic cholangiocarcinoma (ICC) is a relatively rare subtype of cholangiocarcinoma. The study herein gathered experience of surgical treatment for ICC, and aimed to analyze the prognosis of patients who had received curative-intent liver resection. Methods A total of 216 patients who had undergone curative-intent liver resection for ICC between January 1977 and December 2014 was retrospectively reviewed. Results Overall, the rates of 5-years recurrence-free survival (RFS) and overall survival (OS) were 26.1 and 33.9% respectively. Based on multivariate analysis, four independent adverse prognostic factors including morphology patterns, maximum tumor size > 5 cm, pathological lymph node involvement, and vascular invasion were identified as affecting RFS after curative-intent liver resection for ICC. Among patients with cholangiocarcinoma recurrence, only 27 (16.9%) were able to receive surgical resection for recurrent cholangiocarcinoma that had a significantly better outcome than the remaining patients. Conclusion Despite curative resection, the general outcome of patients with ICC is still unsatisfactory because of a high incidence of cholangiocarcinoma recurrence after operation. Tumor factors associated with cholangiocarcinoma remain crucial for the prognosis of patients with ICC after curative liver resection. Moreover, aggressive attitude toward repeat resection for the postoperative recurrent cholangiocarcinoma could provide a favorable outcome for patients.http://link.springer.com/article/10.1186/s12876-018-0912-xIntrahepatic cholangiocarcinomaCurative resectionRecurrencePrognostic factorsOutcome |
| spellingShingle | Kun-Ming Chan Chun-Yi Tsai Chun-Nan Yeh Ta-Sen Yeh Wei-Chen Lee Yi-Yin Jan Miin-Fu Chen Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence BMC Gastroenterology Intrahepatic cholangiocarcinoma Curative resection Recurrence Prognostic factors Outcome |
| title | Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence |
| title_full | Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence |
| title_fullStr | Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence |
| title_full_unstemmed | Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence |
| title_short | Characterization of intrahepatic cholangiocarcinoma after curative resection: outcome, prognostic factor, and recurrence |
| title_sort | characterization of intrahepatic cholangiocarcinoma after curative resection outcome prognostic factor and recurrence |
| topic | Intrahepatic cholangiocarcinoma Curative resection Recurrence Prognostic factors Outcome |
| url | http://link.springer.com/article/10.1186/s12876-018-0912-x |
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