Minematsu S, Tani T
First Department of Surgery, Faculty of Medicine, Kyoto University, Japan.
Nihon Geka Gakkai Zasshi. 1988 Jul;89(7):1028-39.
Hepatocellular carcinoma (HCC) was classified into the three types of expansive type "Exp", mixed type "Mix" and infiltrative type "Inf" according to the preoperative angiographic characteristics, referred to clinicopathological features. "Exp" type had less incidence of accompanied portal venous invasion and daughter nodules in comparison to "Inf" type. And "Exp" type had a better prognosis in the cumulative survival rate than "Inf" type (p less than 0.001). Thus, the present typing essentially classified by tumor vascular architecture represents "malignancy grade" of HCC. In addition, "Inf" type may be recommended more extensive resection or multidisciplinary therapy (for example TAE) for better prognosis.
根据术前血管造影特征(参考临床病理特征),肝细胞癌(HCC)被分为三种类型:膨胀型“Exp”、混合型“Mix”和浸润型“Inf”。与“Inf”型相比,“Exp”型门静脉侵犯和子结节的发生率较低。并且,“Exp”型的累积生存率预后比“Inf”型更好(p小于0.001)。因此,目前这种基于肿瘤血管结构的分型代表了HCC的“恶性程度”。此外,对于“Inf”型,可能建议进行更广泛的切除或多学科治疗(例如经动脉栓塞化疗)以获得更好的预后。