[Natural history of untreated hepatocellular carcinoma in patients with post virus B cirrhosis about 34 cases]
Maghreb Medical. 2008; 28 (389): 118-121
en Francés
| IMEMR
| ID: emr-134654
ABSTRACT
The aim of the present study was to evaluate the natural history of untreated hepatocellular carcinoma [CHC] developing in patients with post viral-B cirrhosis. A retrospective analysis was performed in 34 cases of CRC, admitted at Gastroenterology Department in Sfax. Survival and prognostic factors were evaluated. There were 28 men and 6 women [sex-ratio=4, 6] with a mean age of 59, 5 years. The mean time from the diagnosis of cirrhosis to CHC was 8, 9 months. The circumstances of the diagnostic of the CHC were as follows The follow up of a known cirrhosis in 8 cases [23, 5%]. the decompensation in 10 cases [29, 5] and the clinical manifestations dominated by abdominal pain in 14 cases [47]. Cirrhosis was evaluated as Child-Pugh A, B and C in respectively in 26, 5%, 47, 1%and 26, 4%of cases. The tumor was solitary in fifty per cent of cases. The overall median survival was 51 days [IC 95=42, 7-59, 31 from the time of diagnosis of CRC. The only prognostic factor was the serum bilirubin with a median survival of 34 days when it was superior to 34micro mol [IC 95=25, 1-48,8] [p<0.004]
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Pronóstico
/
Bilirrubina
/
Estudios Retrospectivos
/
Vacunas contra Hepatitis B
/
Cirrosis Hepática
/
Neoplasias Hepáticas
Límite:
Femenino
/
Humanos
/
Masculino
Idioma:
Francés
Revista:
Maghreb Med.
Año:
2008
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