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  • Title: Fibrolamellar hepatocellular carcinoma: results of partial liver resection.
    Author: Martínez Isla A, Ferrara A, Badia JM, Holloway I, Tanaka H, Riaz A, Habib NA.
    Journal: Rev Esp Enferm Dig; 1997 Sep; 89(9):699-705. PubMed ID: 9421556.
    Abstract:
    AIM: To assess the results of partial hepatic resection in the treatment of fibrolamellar hepatocellular carcinoma. PATIENTS AND RESULTS: We present six cases of Fibrolamellar hepatocellular carcinoma treated by partial hepatic resection. There were five females and one male with a mean age of 20 (2.6) yr. Five patients were stage IVA and 1 IVB based on the Union International Against Cancer Classification. Two patients, due to recurrent disease, needed further pulmonary resection and a hilar lymphadenectomy. All six cases underwent major resection, three with vascular reconstruction. No operative mortality was recorded; half of the patients displayed some degree of morbidity. One patient died six months after the operation and the rest are alive at 78, 41, 24, 12 and 9 months. We believe that even in advanced cases, an aggressive surgical policy even with vascular reconstruction is justified in patients with fibrolamellar hepatocellular carcinoma.
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