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肝细胞胆管癌联合肝移植术

Liver transplantation for combined hepatocellular cholangiocarcinoma.

作者信息

Chan Albert Chi-Yan, Lo Chung Mau, Ng Irene Oi-Lin, Fan Sheung Tat

机构信息

Department of Surgery, The University of Hong Kong, Hong Kong SAR.

出版信息

Asian J Surg. 2007 Apr;30(2):143-6. doi: 10.1016/S1015-9584(09)60149-4.

DOI:10.1016/S1015-9584(09)60149-4
PMID:17475587
Abstract

Combined hepatocellular cholangiocarcinoma (cHCC-CC) is an uncommon histological variant of primary liver cancer. This combined type of tumour lesion follows an aggressive clinical course with an unfavourable prognosis. Although the role of orthotopic liver transplantation in the management for hepatocellular carcinoma is well defined, to date, there has been no report on its treatment value for cHCC-CC. We report our experience of orthotopic liver transplantation in three patients with cHCC-CC. One patient succumbed to distant metastases 16.5 months after liver transplantation whereas the other two patients continued to survive 35 and 25 months after transplantation, respectively.

摘要

肝内胆管癌合并肝细胞癌(cHCC-CC)是原发性肝癌中一种罕见的组织学亚型。这种复合型肿瘤病变临床进程侵袭性强,预后不良。尽管原位肝移植在肝细胞癌治疗中的作用已明确,但迄今为止,尚无关于其对cHCC-CC治疗价值的报道。我们报告了3例cHCC-CC患者接受原位肝移植的经验。1例患者在肝移植后16.5个月死于远处转移,而另外2例患者分别在移植后35个月和25个月仍存活。

相似文献

1
Liver transplantation for combined hepatocellular cholangiocarcinoma.肝细胞胆管癌联合肝移植术
Asian J Surg. 2007 Apr;30(2):143-6. doi: 10.1016/S1015-9584(09)60149-4.
2
Combined hepatocellular-cholangiocarcinoma (cHCC-CC): a distinct entity.混合型肝细胞癌-胆管细胞癌(cHCC-CC):一种独特的实体。
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3
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J Surg Oncol. 2013 May;107(6):608-12. doi: 10.1002/jso.23289. Epub 2013 Feb 5.
4
The diagnostic conundrum and liver transplantation outcome for combined hepatocellular-cholangiocarcinoma.肝细胞癌-胆管细胞癌混合型的诊断难题与肝移植结局。
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Characteristics of combined hepatocelluar-cholangiocarcinoma and comparison with intrahepatic cholangiocarcinoma.肝细胞-胆管癌合并症的特征及与肝内胆管癌的比较。
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Long-term prognosis of combined hepatocellular and cholangiocarcinoma after curative resection comparison with hepatocellular carcinoma and cholangiocarcinoma.根治性切除术后联合肝细胞癌和胆管细胞癌的长期预后与肝细胞癌和胆管细胞癌的比较。
J Clin Gastroenterol. 2011 Jan;45(1):69-75. doi: 10.1097/MCG.0b013e3181ce5dfa.
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Combined hepatocellular carcinoma and cholangiocarcinoma: clinical features, treatment modalities, and prognosis.肝细胞癌合并胆管细胞癌:临床特征、治疗方式和预后。
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Multi-Center Analysis of Liver Transplantation for Combined Hepatocellular Carcinoma-Cholangiocarcinoma Liver Tumors.肝细胞癌-胆管癌合并肝脏肿瘤肝移植的多中心分析
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Clinicopathological factors impact the survival outcome following the resection of combined hepatocellular carcinoma and cholangiocarcinoma.临床病理因素影响肝癌合并胆管细胞癌切除术后的生存结局。
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Comparison between resection and transplantation in combined hepatocellular and cholangiocarcinoma.肝细胞癌合并胆管癌的切除与移植治疗比较
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引用本文的文献

1
Synchronous double primary hepatocellular carcinoma and intrahepatic cholangiocarcinoma in a single patient with chronic hepatitis B: two case reports and literature review.一名慢性乙型肝炎患者同时发生原发性肝细胞癌和肝内胆管癌:两例报告及文献复习
Front Oncol. 2025 Jun 16;15:1507454. doi: 10.3389/fonc.2025.1507454. eCollection 2025.
2
Pathology of Combined Hepatocellular Carcinoma-Cholangiocarcinoma: An Update.肝细胞癌-胆管癌合并症的病理学:最新进展
Cancers (Basel). 2023 Jan 13;15(2):494. doi: 10.3390/cancers15020494.
3
Liver Transplantation for Cholangiocarcinoma: Insights into the Prognosis and the Evolving Indications.
肝移植治疗胆管细胞癌:预后与不断变化的适应证的深入见解。
Curr Oncol Rep. 2020 Apr 16;22(5):49. doi: 10.1007/s11912-020-00910-1.
4
Treatment of Combined Hepatocellular and Cholangiocarcinoma.肝细胞癌合并胆管癌的治疗
Cancers (Basel). 2020 Mar 26;12(4):794. doi: 10.3390/cancers12040794.
5
Hepatocholangiocarcinoma/intrahepatic cholangiocarcinoma: are they contraindication or indication for liver transplantation? A propensity score-matched analysis.肝内胆管细胞癌/肝内胆管癌:它们是肝移植的禁忌证还是适应证?一项倾向评分匹配分析。
Hepatol Int. 2018 Mar;12(2):167-173. doi: 10.1007/s12072-018-9847-0. Epub 2018 Feb 15.
6
Clinical features, histology, and histogenesis of combined hepatocellular-cholangiocarcinoma.肝细胞-胆管细胞癌的临床特征、组织学及组织发生
World J Hepatol. 2017 Feb 28;9(6):300-309. doi: 10.4254/wjh.v9.i6.300.
7
Influence of cirrhosis on long-term prognosis after surgery in patients with combined hepatocellular-cholangiocarcinoma.肝硬化对肝细胞胆管癌合并症患者术后长期预后的影响。
BMC Gastroenterol. 2017 Feb 10;17(1):25. doi: 10.1186/s12876-017-0584-y.
8
Impact of incidental/misdiagnosed intrahepatic cholangiocarcinoma and combined hepatocellular cholangiocarcinoma on the outcomes of liver transplantation: an institutional case series and literature review.偶发性/误诊的肝内胆管癌及肝内胆管癌合并肝细胞癌对肝移植结局的影响:一项机构病例系列研究及文献综述
Surg Today. 2017 Aug;47(8):908-917. doi: 10.1007/s00595-017-1472-3. Epub 2017 Jan 25.
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World J Surg Oncol. 2016 Aug 17;14(1):218. doi: 10.1186/s12957-016-0974-6.