Outcome of 1000 liver cancer patients evaluated at the UPMC Liver Cancer Center. J Gastrointest Surg 2006 Jan;10(1):63-8
Date
12/22/2005Pubmed ID
16368492DOI
10.1016/j.gassur.2005.06.032Scopus ID
2-s2.0-29244464375 (requires institutional sign-in at Scopus site) 20 CitationsAbstract
We evaluated 1000 consecutive patients with liver tumors at the University of Pittsburgh Medical Center (UPMC) Liver Cancer Center over the 4-year period from August 2000 to August 2004. Of the 1000 patients seen, 573 had primary liver cancer and 427 had metastatic cancer to the liver. The mean age of the patients evaluated was 62.2 years, and 61% were male. Treatment consisted of a liver surgical procedure (resection or radiofrequency ablation) in 369 cases (36.9%), hepatic intra-arterial regional therapy (transarterial chemoembolization or (90)yttrium microspheres) in 524 cases (52.4%), systemic chemotherapy in 35 cases (3.5%), and palliative care in 72 patients (7.2%). For treated patients, median survival was 884 days for those undergoing resection/radiofrequency ablation, compared to 295 days with regional therapy. These data indicate that over 90% of patients with liver cancer evaluated at a tertiary referral center can be offered some form of therapy. Survival rates are superior with a liver resection or ablation procedure, which is likely consistent with selection bias. Hepatocellular carcinoma was the most common tumor seen due to referral pattern and screening of hepatitis patients at a major liver transplant center. The most common reason for offering palliative care was hepatic insufficiency usually associated with cirrhosis.
Author List
Geller DA, Tsung A, Marsh JW, Dvorchik I, Gamblin TC, Carr BIAuthor
Thomas Clark Gamblin MD Professor in the Surgery department at Medical College of WisconsinMESH terms used to index this publication - Major topics in bold
Age FactorsAntineoplastic Agents
Carcinoma, Hepatocellular
Catheter Ablation
Chemoembolization, Therapeutic
Female
Follow-Up Studies
Hepatectomy
Humans
Liver Cirrhosis
Liver Failure
Liver Neoplasms
Liver Transplantation
Male
Middle Aged
Palliative Care
Pennsylvania
Referral and Consultation
Sex Factors
Survival Rate
Treatment Outcome
